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Individual

MR. ANDREW E BURCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
118 DUDLEY ST, PROVIDENCE, RI 02905-2403
(401) 274-2300
(401) 272-1302
Mailing address
118 DUDLEY ST, PROVIDENCE, RI 02905-2403
(401) 274-2300
(401) 272-1302

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD13946
RI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD13946
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730379843
RI
Enumeration date
07/26/2007
Last updated
07/22/2014
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