| Doctor Name: | DR. ANTHONY MICHAEL BURNIEWICZ |
| NPI Number: | 1114903713 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 25MD00266000 |
| Business Practice Address: | 513 Newman Springs Rd Lincroft, NJ - 077381426 |
| Business Phone Number: | 7327416050 |
| Business Fax Number: | 7327413074 |
| Mailing Address: | 513 Newman Springs Rd, LINCROFT |
| State: | NJ |
| Postal Code: | 077381426 |
| Phone Number: | 7327416050 |
| Fax Number: | 7327413074 |
| NPI Enumeration Date: | 12/16/2005 |
| NPI Last Update Date: | 05/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00266000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |