Individual
EDWIN RAMON BURWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
266 W 145TH ST, NEW YORK, NY 10039-4104
(212) 690-4002
Mailing address
1014 HOME ST, APT 2C, BRONX, NY 10459-2073
(315) 278-7064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
239073
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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