Individual
JOSEPH BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3474
Mailing address
408 ROSLYN AVE, GLENSIDE, PA 19038-3607
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN613597
PA
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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