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Individual

JAMES BURCH

Active
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Individual

JAMES BURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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