Individual
JAMES BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
101 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2360
(203) 949-2700
(203) 949-2712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
043080
CT
2085R0202X
Diagnostic Radiology Physician
Primary
43080
CT
2085R0204X
Vascular & Interventional Radiology Physician
43080
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001430800
—
CT
Enumeration date
09/09/2005
Last updated
09/26/2018
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