Basic Information
| Provider Information | |||||||||
| NPI: | 1700953262 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BURFEIND | ||||||||
| FirstName: | JULIA | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | PA | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | MOLISE | ||||||||
| OtherFirstName: | JULIA | ||||||||
| OtherMiddleName: | K | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | PA | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1501 LEHIGH ST | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181033880 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6106288380 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1501 LEHIGH ST | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181033880 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6106288380 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2006 | ||||||||
| LastUpdateDate: | 09/26/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 102207 | NC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MA052961L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.