Provider Demographics
NPI:1366531998
Name:BURKE, MARGARET LINDA (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LINDA
Last Name:BURKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1991 SPROUL RD
Mailing Address - Street 2:SUITE 625
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3512
Mailing Address - Country:US
Mailing Address - Phone:610-642-1616
Mailing Address - Fax:484-565-8556
Practice Address - Street 1:1991 SPROUL RD
Practice Address - Street 2:SUITE 625
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-3512
Practice Address - Country:US
Practice Address - Phone:610-642-1616
Practice Address - Fax:484-565-8556
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD052326L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F90613Medicare UPIN
PA535019HK1Medicare PIN
NJ6558003Medicaid