Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist | MD-040273-L | PA |
Y | 207V00000X | Obstetrician & Gynecologist | MD-040273-L | PA |
NPI | 1497194732 |
---|---|
Provider Name | Dr. Marianne Louise Burda |
First Address | Wexford, PA 15090-8359 |
Second Address | Wexford, PA 15090-8359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2013 |
Last Update Date | 20/06/2013 |