Provider Demographics
NPI:1942304084
Name:BURKE, MARY G (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:G
Last Name:BURKE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1350 SOUTH ELISEO DRIVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904
Mailing Address - Country:US
Mailing Address - Phone:415-464-0411
Mailing Address - Fax:415-464-0422
Practice Address - Street 1:1350 SOUTH ELISEO DRIVE
Practice Address - Street 2:SUITE 220
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904
Practice Address - Country:US
Practice Address - Phone:415-464-0411
Practice Address - Fax:415-464-0422
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2013-08-28
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Provider Licenses
StateLicense IDTaxonomies
CAG683662084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry