Provider Demographics
NPI:1427018738
Name:BURKE, PAUL M JR (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:BURKE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1115 WESTFORD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-2853
Mailing Address - Country:US
Mailing Address - Phone:351-221-7080
Mailing Address - Fax:
Practice Address - Street 1:1115 WESTFORD ST STE 2
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-2853
Practice Address - Country:US
Practice Address - Phone:351-221-7080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA524802086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0070588002OtherCIGNA HEALTHCARE
MA4019729OtherAETNA HEALTHCARE
NH0103137Y0MA01OtherANTHEM BCBS NH
MA052480OtherTUFTS HEALTH PLAN
NH459390OtherHEALTHSOURCE NH
MD1513OtherFALLON COMMUNITY HEALTH
MA1704452OtherUNITED HEALTHCARE
MA0031675OtherNEIGHBORHOOD HEALTH PLAN
MA6194834Medicaid
MA28171OtherHARVARD PILGRIM
MA98211401OtherNETWORK HEALTH
MAJ04219OtherBCBS
P2251494OtherOXFORD HEALTH
MA1704452OtherUNITED HEALTHCARE