Provider Demographics
NPI:1811932874
Name:BURTON, FREDERICK D (MD)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:D
Last Name:BURTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:321 E EMMAUS AVE
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5905
Mailing Address - Country:US
Mailing Address - Phone:610-791-2453
Mailing Address - Fax:610-791-9974
Practice Address - Street 1:321 E EMMAUS AVE
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-5905
Practice Address - Country:US
Practice Address - Phone:610-791-2453
Practice Address - Fax:610-791-9974
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD031220E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA123038Medicare PIN