Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2012-00025 | NC |
N | 111NI0900X | Internist | 2012-00025 | NC |
N | 207R00000X | Internist | 25MA09390100 | NJ |
N | 111NI0900X | Internist | 25MA09390100 | NJ |
N | 207RH0002X | Hospice and Palliative Medicine | 0101266483 | VA |
NPI | 1255573374 |
---|---|
Provider Name | Rebecca Casey Burke |
First Address | Baltimore, MD 21279-0777 |
Second Address | Charlottesville, VA 22911-4668 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2009 |
Last Update Date | 13/11/2019 |