Provider Demographics
NPI:1104887744
Name:BOURKE, DENIS LEE (MD)
Entity type:Individual
Prefix:DR
First Name:DENIS
Middle Name:LEE
Last Name:BOURKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:13004 GENT RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-5717
Mailing Address - Country:US
Mailing Address - Phone:410-605-7235
Mailing Address - Fax:410-605-7793
Practice Address - Street 1:10 N GREENE ST
Practice Address - Street 2:115
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1524
Practice Address - Country:US
Practice Address - Phone:410-605-7235
Practice Address - Fax:410-605-7793
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0036153207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology