Organization
KELLY D BUREK DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY DINEEN BUREK DPM (PRESIDENT)
(413) 572-1606
Entity
Organization
Contact information
Practice address
150 SOUTHAMPTON RD, WESTFIELD, MA 01085-0123
(413) 572-1606
(413) 572-0526
Mailing address
150 SOUTHAMPTON RD, WESTFIELD, MA 01085-0123
(413) 572-1606
(413) 572-0526
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2000
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y77311
BCBS
MA
Enumeration date
05/18/2007
Last updated
09/04/2014
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