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NPI Code Detail

MEDICARE: DR. ELIZABETH ANN BURNS D.O.

MEDICARE:  DR. ELIZABETH ANN BURNS  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician25MB05899100NJ
22084P0804XChild & Adolescent Psychiatry Physician25MB05899100NJ
32084F0202XForensic Psychiatry PhysicianMB58991NJ

General Provider Information

NPI Number : 1255401402
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH ANN BURNS D.O.
Provider Business Mailing Address
First Line : 104 INDEPENDENCE BLVD
Second Line :
City : SICKLERVILLE
State : NJ
Zip : 08081-1039
Country : US
Telephone Number : 856-885-4529
Fax Number : 609-567-7252
Provider Business Practice Location Address
First Line : 104 INDEPENDENCE BLVD
Second Line :
City : SICKLERVILLE
State : NJ
Zip : 08081-1039
Country : US
Telephone Number : 856-885-4529
Fax Number : 856-885-6258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 02/03/2020

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