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Individual

JOSEPH P BURICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
754 S CLEVELAND AVE, SUITE 300, MOGADORE, OH 44260-2200
(330) 628-2686
(330) 628-0828
Mailing address
754 S CLEVELAND AVE, SUITE 300, MOGADORE, OH 44260-2200
(330) 628-2686
(330) 628-0828

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-2729
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0393720
OH
01
1396782876
NPI GROUP NUMBER
OH
01
9338635
MEDICARE GROUP NUMBER
OH
Enumeration date
01/19/2006
Last updated
03/15/2017
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