MEDICARE: BURKE MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD025806E	PA

General Provider Information

NPI Number	:	1316124530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURKE MEDICAL PC

Provider Business Mailing Address
First Line	:	2349 ORTHODOX ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19137-1130
Country	:	US
Telephone Number	:	215-743-3131
Fax Number	:

Provider Business Practice Location Address
First Line	:	438 W MOUNT AIRY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-2946
Country	:	US
Telephone Number	:	215-743-3131
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MARGARET BURKE
Credential	:	MD
Telephone Number	:	215-743-3131

Provider Enumeration Date	:	01/30/2008
Last Update Date	:	01/30/2008

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