Healthcare Provider Details

I. General information

NPI: 1114834017
Provider Name (Legal Business Name): PATRICK J BURNS L.P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 40
NORTHFIELD NJ
08225-0040
US

IV. Provider business mailing address

PO BOX 40
NORTHFIELD NJ
08225-0040
US

V. Phone/Fax

Practice location:
  • Phone: 609-457-4336
  • Fax:
Mailing address:
  • Phone: 609-457-4336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number37PC01306800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: