Individual
MR. TIMOTHY BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1677 STATE ROUTE 65, ELLWOOD CITY, PA 16117
(724) 752-2716
Mailing address
33 POLAND MNR, POLAND, OH 44514-2010
(330) 757-1815
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT007683L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072326060002
—
PA
01
—
851603
HIGHMARK
PA
Enumeration date
10/25/2006
Last updated
07/08/2007
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