Organization
BURTON WELLNESS AND INJURY CENTER
Active
Other names
FREDERICK D BURTON MD
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BURTON (OFFICE MANAGER)
(610) 649-4325
Entity
Organization
Contact information
Practice address
1455 CITY AVE, WYNNEWOOD, PA 19096-3820
(610) 649-4325
Mailing address
1455 CITY AVE, WYNNEWOOD, PA 19096-3820
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD031220E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3986378
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/18/2006
Last updated
08/22/2020
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