Healthcare Provider Details

I. General information

NPI: 1194729764
Provider Name (Legal Business Name): JOSEPH F BURKE JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 03/07/2023
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 STATE RD
NORTH DARTMOUTH MA
02747-3319
US

IV. Provider business mailing address

51 STATE RD
NORTH DARTMOUTH MA
02747-3319
US

V. Phone/Fax

Practice location:
  • Phone: 508-994-1400
  • Fax: 508-910-2212
Mailing address:
  • Phone: 508-994-1400
  • Fax: 508-910-2212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number36626
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: