Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 252954 | NY |
N | 207VX0201X | Gynecologic Oncologist | 252954 | NY |
Y | 207VX0201X | Gynecologic Oncologist | MD446883 | PA |
NPI | 1124352315 |
---|---|
Provider Name | Dr. Elizabeth Burton |
First Address | Willow Grove, PA 19090-1104 |
Second Address | Willow Grove, PA 19090-1104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2009 |
Last Update Date | 26/09/2018 |