Joseph Douglas Macut PA-C

NPI 1326260159 - Physician Assistant - 363A00000X

NPI Details
NPI 1326260159
Gender Male
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3940 LOCUST LN
HARRISBURG PA, 17109-4023, US
Phone (717) 545-5787
Fax
Business Location
3940 LOCUST LN
HARRISBURG PA, 17109-4023, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Pennsylvania
License Number MA 000412L
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According to our database, Mr. Joseph Douglas Macut PA-C NPI is 1326260159, taxonomy code is 363A00000X and license number is MA 000412L, license state is located at Pennsylvania. Joseph Douglas Macut PA-C physically located at 3940 Locust Ln, Harrisburg PA, 17109-4023. NPI Number Joseph Douglas Macut PA-C has the Individual type.

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1326260159 NPI number is provided on an as is basis without warranty of any kind. 1326260159 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Douglas Macut PA-C are for informational purposes only.