Provider Demographics
NPI:1346334778
Name:BURKE, MONICA A (DO)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:A
Last Name:BURKE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:248 PLEASANT ST
Mailing Address - Street 2:SUITE G200
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2588
Mailing Address - Country:US
Mailing Address - Phone:603-224-6691
Mailing Address - Fax:603-228-7087
Practice Address - Street 1:248 PLEASANT ST
Practice Address - Street 2:SUITE G200
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-224-6691
Practice Address - Fax:603-228-7087
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2012-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME18622084N0400X
NY254196-12084N0400X
NH158222084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03124843Medicaid
NYJ400005504Medicare UPIN
NY03124843Medicaid