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Individual

CHRIS S BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
41 MALL RD, BURLINGTON, MA 01805-4285
(781) 744-8085
Mailing address
LAHEY PROVIDER ENROLLMENT DEPARTMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
248708
NY
2084N0400X
Neurology Physician
Primary
286919
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02990247
NY
01
P00967685
MEDICARE RR
NY
Enumeration date
08/08/2006
Last updated
09/27/2021
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