Provider Demographics
NPI:1316934391
Name:BURICK, ADAM J (DO)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:J
Last Name:BURICK
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Gender:M
Credentials:DO
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Mailing Address - Street 1:890 POPLAR CHURCH RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2250
Mailing Address - Country:US
Mailing Address - Phone:717-761-7244
Mailing Address - Fax:717-761-2055
Practice Address - Street 1:890 POPLAR CHURCH RD
Practice Address - Street 2:SUITE 210
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2250
Practice Address - Country:US
Practice Address - Phone:717-761-7244
Practice Address - Fax:717-761-2055
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2008-01-02
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Provider Licenses
StateLicense IDTaxonomies
PAOS008695L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG87500Medicare UPIN
PA022953EE8Medicare PIN