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Individual

CARL BURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4 OAK LN, WILLOW STREET, PA 17584-9347
(267) 691-9775
(267) 691-9775
Mailing address
4 OAK LN, WILLOW STREET, PA 17584-9347
(267) 691-9775
(267) 691-9775

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
10/16/2025
Last updated
10/16/2025
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