Organization
PULMONARY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN PRENTICE BURLEW M.D. (OWNER)
(610) 625-8898
Entity
Organization
Contact information
Practice address
5325 NORTHGATE DR, SUITE 209, BETHLEHEM, PA 18017-9411
(610) 625-8898
(610) 625-8899
Mailing address
5325 NORTHGATE DR, SUITE 209, BETHLEHEM, PA 18017-9411
(610) 625-8898
(610) 625-8899
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD037049E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012094500002
—
PA
01
—
020055700
BLACK LUNG
PA
01
—
02343500
CAPITAL BLUE CROSS
PA
01
—
0618634
AETNA
PA
01
—
290009012
RAILROAD MEDICARE
PA
01
—
91964
UNISON
PA
01
—
BU608961
PA BLUE SHIELD
PA
01
—
P867065
OXFORD
PA
Enumeration date
05/30/2006
Last updated
10/06/2014
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