DR. John Peter Burghardt JR., DPM

NPI #1003817024 in Coram, New York

Provider Information

NPI Number: 1003817024
Entity Type: Individual
Name: DR. John Peter Burghardt JR., DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Aug 2, 2005
Last Updated: Dec 30, 2010

Practice Location

Address: 1013 OLD TOWN RD
City: Coram
State: New York
ZIP Code: 11727-1853
Phone: (631) 732-2590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Organizations

Provider Name	Specialty	City
Coram Podiatry Pllc	Podiatrist	Coram	AI Deep Dive

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