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Individual

CASEY JAMES BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
109 TERRACE DR, OLYPHANT, PA 18447-2501
(570) 483-4603
(570) 319-1250
Mailing address
109 TERRACE DR, OLYPHANT, PA 18447-2501
(570) 483-4603
(570) 319-1250

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS014855
PA
207XS0106X
Orthopaedic Hand Surgery Physician
044194
CT
207XS0106X
Orthopaedic Hand Surgery Physician
2014012292
MO
207XS0106X
Orthopaedic Hand Surgery Physician
5101014881
MI
207XS0106X
Orthopaedic Hand Surgery Physician
540
NE
207XS0106X
Orthopaedic Hand Surgery Physician
OS014855
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148380094
MEDICARE PTAN FOR FDC
MO
01
2014012292
MO LICENSE
MO
05
47070309913
NE
Enumeration date
10/05/2006
Last updated
11/16/2017
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