Provider Demographics
NPI:1427093939
Name:BURSTEIN, EDWARD M (DC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:BURSTEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:492 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1112
Mailing Address - Country:US
Mailing Address - Phone:908-665-0770
Mailing Address - Fax:980-665-0006
Practice Address - Street 1:492 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1112
Practice Address - Country:US
Practice Address - Phone:908-665-0770
Practice Address - Fax:980-665-0006
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00162700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ134999Medicare ID - Type Unspecified