# P. DECLAN BURKE, MD, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144267675
- **Authorized official:** P. DECLAN BURKE M.D. (PHYSICIAN)
- **Authorized official phone:** (540) 785-8866

## Contact information

- **Practice address:** 1420 CENTRAL PARK BLVD, SUITE 200, FREDERICKSBURG, VA 22401-4932
- **Practice address phone:** (540) 785-8866
- **Practice address fax:** (540) 785-2676
- **Mailing address:** 1420 CENTRAL PARK BLVD, SUITE 200, FREDERICKSBURG, VA 22401-4932
- **Mailing address phone:** (540) 785-8866
- **Mailing address fax:** (540) 785-2676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101019596 | VA | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 07/30/2010