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Individual

BRENDA J. BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
19 FRIENDSHIP ST, SUITE 150, NEWPORT, RI 02840-2200
(401) 845-4332
(401) 848-6084
Mailing address
19 FRIENDSHIP ST, SUITE 150, NEWPORT, RI 02840-2200
(401) 845-4332
(401) 848-6084

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
DO 00575
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27785-7
RI BC/BS
RI
01
411896
RI BLUE CHIP
RI
05
7056546
RI
Enumeration date
07/01/2005
Last updated
01/30/2012
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