Individual
DR. M SUSAN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E LANCASTER AVE, SUITE B11, WYNNEWOOD, PA 19096-3450
(484) 476-2658
(484) 476-3577
Mailing address
100 E LANCASTER AVE, SUITE B11, WYNNEWOOD, PA 19096-3450
(484) 476-2658
(484) 476-3577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD024506E
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD024506E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
01/20/2006
Last updated
09/24/2014
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