Individual
MICHAEL BURKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11000 JEFFERSON AVE STE B, NEWPORT NEWS, VA 23601-2747
(757) 848-3500
(757) 722-6263
Mailing address
11000 JEFFERSON AVE STE B, NEWPORT NEWS, VA 23601-2747
(757) 848-3500
(757) 722-6263
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
1033-02-006
VA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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