Basic Information
Provider Information
NPI: 1144275041
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RINGE
FirstName: BURCKHARDT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 1601 CHERRY ST
Address2: SUITE 11511
City: PHILADELPHIA
State: PA
PostalCode: 191021321
CountryCode: US
TelephoneNumber: 2152557822
FaxNumber: 2152557825
Practice Location
Address1: 216 N BROAD ST
Address2: 5TH FL
City: PHILADELPHIA
State: PA
PostalCode: 191021121
CountryCode: US
TelephoneNumber: 2157623900
FaxNumber: 2157623846
Other Information
ProviderEnumerationDate: 05/23/2006
LastUpdateDate: 08/15/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
204F00000XMD418169PAY Allopathic & Osteopathic PhysiciansTransplant Surgery 
208600000XMD418169PAN Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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