Provider Demographics
NPI:1699723197
Name:BURKE, STEVEN KEITH (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:KEITH
Last Name:BURKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 WILLIS RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1665
Mailing Address - Country:US
Mailing Address - Phone:978-443-6350
Mailing Address - Fax:
Practice Address - Street 1:153 2ND AVE
Practice Address - Street 2:GENZYME
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1122
Practice Address - Country:US
Practice Address - Phone:781-434-3439
Practice Address - Fax:617-768-9874
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA70798207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology