Healthcare Provider Details

I. General information

NPI: 1447586276
Provider Name (Legal Business Name): TIFFANY ANN BURKE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIFFANY ANN HINTON PA-C

II. Dates (important events)

Enumeration Date: 10/29/2009
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 CETRONIA RD STE 135
ALLENTOWN PA
18104-9569
US

IV. Provider business mailing address

3050 HAMILTON BLVD STE. 105
ALLENTOWN PA
18103
US

V. Phone/Fax

Practice location:
  • Phone: 484-426-2400
  • Fax: 484-426-2433
Mailing address:
  • Phone: 610-432-2013
  • Fax: 610-432-6559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA054039
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA054039
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: