Gregory Burdo
Periodontist
3 Ainsley Ct
Newtown
, Pennsylvania 18940-4230
Gregory Burdo
Periodontist
3 Ainsley Ct
Newtown
, Pennsylvania 18940-4230
(215) 354-9125
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Gregory Burdo
- 10108 Bustleton Ave
- Philadelphia, PA
- Zip : 19116-3704
- Fax : (215) 354-9125
- Phone : (215) 677-3904
Second Address
- Gregory Burdo
- 3 Ainsley Ct
- Newtown, PA
- Zip : 18940-4230
- Fax : (215) 513-7192
- Phone : (215) 497-8339
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | DS036098 | PA |
National Provider Identifier
| NPI | 1124189980 |
|---|---|
| Provider Name | Gregory Burdo |
| First Address | Philadelphia, PA 19116-3704 |
| Second Address | Newtown, PA 18940-4230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2006 |
| Last Update Date | 17/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 101703527 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.