Healthcare Provider Details
I. General information
NPI: 1831198233
Provider Name (Legal Business Name): JEFFREY S. BURKET M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/18/2005
Last Update Date: 02/23/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 DRAKE RD SUITE C
PITTSBURGH PA
15241-1556
US
IV. Provider business mailing address
101 DRAKE RD SUITE C
PITTSBURGH PA
15241-1556
US
V. Phone/Fax
- Phone: 412-347-0057
- Fax: 412-347-0062
- Phone: 412-347-0057
- Fax: 412-347-0062
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | MD069119L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: