Individual
MARY E BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
630 PLANTATION ST, WORCESTOR, MA 01605
(508) 595-2000
(508) 853-7149
Mailing address
630 PLANTATION ST, WORCESTOR, MA 01605
(508) 595-2000
(508) 853-7149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200883
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04247226
ONE HEALTH PLAN
—
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
042472266008
TRICARE/CHAMPUS
—
05
—
0700380
—
MA
01
—
500002311
RAILROAD MEDICARE
—
01
—
57692
FALLON COMMUNITY HEALTH P
—
01
—
8300309
EVERCARE
—
01
—
AA3454
HARVARD PILGRIM HEALTHCAR
—
01
—
NP0719
MEDICARE B
—
Enumeration date
01/17/2006
Last updated
01/28/2009
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