Individual
BURTON MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
563 PRINCE FREDERICK ST, KING OF PRUSSIA, PA 19406-1846
(610) 331-2326
Mailing address
563 PRINCE FREDERICK ST, KING OF PRUSSIA, PA 19406-1846
(610) 331-2326
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS001940L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007534140018
—
PA
Enumeration date
08/31/2005
Last updated
07/22/2010
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