Provider Demographics
NPI:1770687493
Name:BURKE, THOMAS FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FRANCIS
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:PO BOX 297
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-0297
Mailing Address - Country:US
Mailing Address - Phone:443-453-5055
Mailing Address - Fax:443-453-5054
Practice Address - Street 1:2303 BEL AIR RD
Practice Address - Street 2:C/O SLEEPMED
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2737
Practice Address - Country:US
Practice Address - Phone:443-453-5055
Practice Address - Fax:443-453-5054
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0047746207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD404853900Medicaid
MD528PS670OtherMEDICARE ID #
MDM41063OtherCDS
MD404853900Medicaid
MD181MMedicare PIN