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Individual

DR. DAVID HOLLAND BURCHENAL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
213 ELM ST, STONINGTON, CT 06378-1165
(860) 535-3245
(860) 535-3246
Mailing address
213 ELM ST, STONINGTON, CT 06378-1165
(860) 535-3245
(860) 535-3246

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032153
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010032153CT01
ANTHEM BLUE CROSS
CT
01
0161014
CIGNA
01
2032340
AETNA
01
231251
RI BLUE CROSS
RI
01
409907
BLUE CHIP
RI
01
973603
UNITED HEALTHCARE
01
OV5772
HEALTHNET
01
P00090169
RAILROAD MEDICARE
01
ZP208
OXFORD
CT
Enumeration date
05/17/2006
Last updated
07/08/2007
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