=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316398613
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANNETTE BURON D.P.M.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/28/2016
-----------------------------------------------------
Last Update Date | 02/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 663 PALISADE AVE STE 204
-----------------------------------------------------
City | CLIFFSIDE PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07010-3012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-943-7977
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 663 PALISADE AVE STE 204
-----------------------------------------------------
City | CLIFFSIDE PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07010-3012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213EP1101X
-----------------------------------------------------
Taxonomy Name | Primary Podiatric Medicine Podiatrist
-----------------------------------------------------
License Number | 25MD00347200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | 25MD00347200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------