Most Relevant Information
Provider Data
| NPI Number: | 1003817024 |
| Provider Name: | JOHN PETER BURGHARDT DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 213E00000X |
| Specialty: | Podiatrist |
| License Number: | 002467 |
Most Important Dates
| Enumeration Date: | 08/02/2005 |
| Last Updated: | 12/30/2010 |
Provider Practice Location
1013 OLD TOWN RD
CORAM
NY
117271853
Practice Location Phone/Fax
| Phone: | 6317322590 |
| Fax: | 6317322590 |
Provider Mailing Location
1013 OLD TOWN RD
CORAM
NY
117271853
Provider Mailing Phone/Fax
| Phone: | 6317322590 |
| Fax: | 6317322590 |
Suggested EMR
Podiatry EMR