Individual
CAROLYN ROSE BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
299 CAREW ST STE 234, SPRINGFIELD, MA 01104-2368
(413) 787-2575
Mailing address
98 SHAKER RD, EAST LONGMEADOW, MA 01028-2731
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
7131
CT
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
01/23/2026
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