Individual
EITHNE TERESA BURKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-8221
(919) 789-4461
Mailing address
PO BOX 19368, RALEIGH, NC 27619-9368
(919) 787-8221
(919) 789-4461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
97-002-3
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040G
BLUECROSS BLUESHIELD
NC
01
—
1827389
UNITED HEALTHCARE
NC
01
—
5463480
AETNA
NC
01
—
7356946
CIGNA
NC
05
—
891040G
—
NC
01
—
D9074
MEDCOST
NC
01
—
E0193
MEDCOST
NC
01
—
E0194
MEDCOST
NC
Enumeration date
04/28/2006
Last updated
07/08/2007
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