Burshteyn, Mark
Burshteyn, Mark is an individual health care provider with primary practice located at 3401 N. Broad Street , Philadelphia PA 19140. 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. Burshteyn, Mark can be contacted via phone (215) 707-7237.Contact Information
Primary practice address
3401 N. Broad Street
Philadelphia PA 19140
Phone: (215) 707-7237
Fax: (215) 707-9389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD443993 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C1-0010021 | Delaware |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA09090500 | New Jersey |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | C1-0010021 | Delaware |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 25MA09090500 | New Jersey |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD443993 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 291674-1 | New York |
Profile Details
| NPI number | 1619118932 |
|---|---|
| LBN Legal business name | Burshteyn, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2009 |
| Last updated | Aug 16th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619118932 | NPPES |
| Delaware | MEDICAID | 1619118932 | |
| Delaware | MEDICAID | 0295841 | |
| Delaware | MEDICAID | 102686716 |
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