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NPI Code Detail

MEDICARE: JAMES BURCH MD

MEDICARE: JAMES BURCH MD
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
1174400000XSpecialist043080CT
22085R0204XVascular & Interventional Radiology Physician43080CT
32085R0202XDiagnostic Radiology Physician43080CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801880364
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES BURCH MD
Provider Business Mailing Address
First Line : 101 N PLAINS INDUSTRIAL RD
Second Line :
City : WALLINGFORD
State : CT
Zip : 06492-2360
Country : US
Telephone Number : 203-949-2700
Fax Number : 203-949-2712
Provider Business Practice Location Address
First Line : 326 WASHINGTON ST
Second Line :
City : NORWICH
State : CT
Zip : 06360-2740
Country : US
Telephone Number : 860-889-8331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 09/26/2018

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