Shayna Beth Burke, M.D.
Allergy & Immunology, Clinical & Laboratory Immunology in West Hartford, CT. Individual provider (NPI-1).
NPI number1609078708
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1609078708
- Entity type
- Individual (NPI-1)
- Name
- Shayna Beth Burke
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2007
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207KI0005X | Allergy & Immunology, Clinical & Laboratory Immunology | 050699 | CT | Yes |
| 207K00000X | Allergy & Immunology | 050699 | CT | |
| 208000000X | Pediatrics | LP01038 | RI |
Practice location
928 Farmington AveWest Hartford, CT 06107-2227
Phone 860-233-6293 · Fax 860-236-7223
Mailing address
928 Farmington AveWest Hartford, CT 06107-2227
Phone 860-233-6293 · Fax 860-236-7223
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