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NPI Code Detail

MEDICARE: JOSEPH P BURICK DO

MEDICARE:   JOSEPH P BURICK  DO
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
1207Q00000XFamily Medicine Physician34-00-2729OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
29338635OTHEROHMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11396782876OTHEROHNPI GROUP NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700866449
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH P BURICK DO
Provider Business Mailing Address
First Line : 754 S CLEVELAND AVE
Second Line : SUITE 300
City : MOGADORE
State : OH
Zip : 44260-2200
Country : US
Telephone Number : 330-628-2686
Fax Number : 330-628-0828
Provider Business Practice Location Address
First Line : 754 S CLEVELAND AVE
Second Line : SUITE 300
City : MOGADORE
State : OH
Zip : 44260-2200
Country : US
Telephone Number : 330-628-2686
Fax Number : 330-628-0828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 03/15/2017

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Directions to “ JOSEPH P BURICK DO” Practice Location

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