Individual provider · NPI-1

Todd Louis Burstyn, MD

Internal Medicine · Owings Mills, MD

NPI number1881852325
StatusActive
Last updated in NPPESJan 8, 2013

Details

NPI
1881852325
Entity type
Individual (NPI-1)
Name
Todd Louis Burstyn
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 31, 2008
Last updated
Jan 8, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineD72864MDYes

Practice location

21 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5441

Phone 410-998-9100 · Fax 410-998-9104

Mailing address

21 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5441

Phone 410-998-9100 · Fax 410-998-9104

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