Individual
PHILIP R. BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1419 BEACON ST, BROOKLINE, MA 02446-4808
(617) 983-0280
(617) 934-1789
Mailing address
1419 BEACON ST, BROOKLINE, MA 02446-4808
(617) 983-0280
(617) 934-1789
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
217495
MA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
217495
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2099489
—
MA
01
—
468341
TUFTS HEALTH PLAN
MA
01
—
J28796
BCBS OF MA
MA
Enumeration date
07/07/2005
Last updated
11/21/2020
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