Individual
PAUL BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1768 BUSINESS CENTER DR STE 100, RESTON, VA 20190-5359
(800) 762-9244
(786) 672-6006
Mailing address
1768 BUSINESS CENTER DR STE 100, RESTON, VA 20190-5359
(800) 762-9244
(786) 672-6006
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200401476
NC
2084N0400X
Neurology Physician
42328
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901242
—
NC
Enumeration date
10/23/2006
Last updated
05/17/2021
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