Healthcare Provider Details

I. General information

NPI: 1477553774
Provider Name (Legal Business Name): DR. HARRY B. BURKE AND ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3578 BRODHEAD RD
MONACA PA
15061-3143
US

IV. Provider business mailing address

3578 BRODHEAD RD
MONACA PA
15061-3143
US

V. Phone/Fax

Practice location:
  • Phone: 724-775-6168
  • Fax: 724-775-2633
Mailing address:
  • Phone: 724-775-6168
  • Fax: 724-775-2633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StatePA

VIII. Authorized Official

Name: DR. HARRY BRIAN BURKE
Title or Position: OWNER
Credential: D.P.M.
Phone: 724-775-6168