Individual
ERIC JASON BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
670 ALBANY STREET, SUITE 304, BOSTON, MA 02118-2646
(617) 414-5314
(617) 414-5315
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
223504
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
223504
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110076181A
—
MA
Enumeration date
02/02/2006
Last updated
02/01/2018
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