Provider Demographics
NPI:1497592885
Name:BUROVA, MARINA
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:BUROVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 BUTLER ST UNIT 406
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-5303
Mailing Address - Country:US
Mailing Address - Phone:484-353-6444
Mailing Address - Fax:
Practice Address - Street 1:729 GEORGE ST
Practice Address - Street 2:
Practice Address - City:PEN ARGYL
Practice Address - State:PA
Practice Address - Zip Code:18072-1715
Practice Address - Country:US
Practice Address - Phone:484-353-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care