MEDICARE: JULIE ANN BURKE D.C.

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	111N00000X	Chiropractor	1345	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y36110	OTHER	MA	BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1740292192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANN BURKE D.C.

Provider Business Mailing Address
First Line	:	383 ELLIOT ST
Second Line	:	SUITE 250
City	:	NEWTON UPPER FALLS
State	:	MA
Zip	:	02464-1126
Country	:	US
Telephone Number	:	617-964-3332
Fax Number	:	617-332-7601

Provider Business Practice Location Address
First Line	:	383 ELLIOT ST
Second Line	:	SUITE 250
City	:	NEWTON UPPER FALLS
State	:	MA
Zip	:	02464-1126
Country	:	US
Telephone Number	:	617-964-3332
Fax Number	:	617-332-7601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	10/31/2013

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