Individual
CYRIL O BURKE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1524 ATWOOD AVE, SUITE 120, JOHNSTON, RI 02919-3228
(401) 521-9620
(401) 521-4651
Mailing address
1524 ATWOOD AVE, SUITE 120, JOHNSTON, RI 02919-3228
(401) 521-9620
(401) 521-4651
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD7138
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-00152
UNITED HEALTH
RI
01
—
201768
BLUE CROSS
RI
01
—
203480
BLUE CHIP
RI
Enumeration date
09/27/2005
Last updated
06/30/2011
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