Individual
JONATHAN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
208 KEVIN LN, SUITE 101, BRODHEADSVILLE, PA 18322-7044
(570) 992-7620
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS011113L
PA
Other
Enumeration date
07/07/2006
Last updated
11/25/2015
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