Provider Demographics
NPI:1386842953
Name:BUREK, CAROL LYNNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:LYNNE
Last Name:BUREK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:720 RUTLAND AVE
Mailing Address - Street 2:ROSS 648
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-2109
Mailing Address - Country:US
Mailing Address - Phone:410-955-7638
Mailing Address - Fax:410-614-3548
Practice Address - Street 1:720 RUTLAND AVE
Practice Address - Street 2:ROSS 648
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2109
Practice Address - Country:US
Practice Address - Phone:410-955-7638
Practice Address - Fax:410-614-3548
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QI0000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyImmunology