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Individual
PAUL JOSEPH MACKAREY
Active
Individual
PAUL JOSEPH MACKAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000917E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001815146
—
PA
01
—
072445
FIRST PRIORITY HEALTH
PA
01
—
2373037
US/HEALTHCARE
PA
01
—
650019415
RAILROAD MEDICARE
PA
01
—
66866159B
GEISINGER HEALTH PLAN
PA
01
—
7671144
AETNA
PA
01
—
MA101885
PA BLUE SHIELD
PA
Enumeration date
09/07/2005
Last updated
07/06/2010
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