Individual provider · Type 1 NPI
Jack McLaughlin Burke
Student in an Organized Health Care Education/Training Program · Boston, MA
NPI number
1417675901
Active
Practice location
57 Forbes St
Boston, MA 02130-1809
Mailing address
1426 Commonwealth Ave
Brighton, MA 02135-3716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1417675901
Jack McLaughlin Burke's National Provider Identifier is 1417675901, issued on Aug 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Apr 3, 2025.