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Individual

DR. EDWARD C BURNETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2075 COUNTY LINE RD, VILLANOVA, PA 19085-1732
(610) 642-1413
Mailing address
2075 COUNTY LINE RD, VILLANOVA, PA 19085-1732
(610) 642-1413

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
MD-059218-L
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD059218L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073081140001
PA
Enumeration date
07/24/2006
Last updated
07/25/2025
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