Burdick, Thomas Ray

Burdick, Thomas Ray is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Burdick, Thomas Ray can be contacted via phone (603) 650-5000.

Contact Information

Primary practice address
1 Medical Center Dr Lebanon NH 03756-1000
Phone: (603) 650-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00038788 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 22860 New Hampshire

Profile Details

NPI number 1003992728
LBN Legal business name Burdick, Thomas Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003992728 NPPES
Other 310010 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 8354441 INTERNAL ID-MOTOR VEHICLE ID

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