Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 25MA08060500 | NJ |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 25MA08060500 | NJ |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD427981 | PA |
NPI | 1164488987 |
---|---|
Provider Name | Scott Walter Burke |
First Address | Newtown, PA 18940-3439 |
Second Address | Newtown, PA 18940-3439 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 21/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I50326 | (02) |