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Organization
MACISAAC FAMILY MEDICINE
Active
Organization
MACISAAC FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B MACISAAC DO (PHYSICAN)
(724) 940-9190
Entity
Organization
Contact information
Practice address
125 WARRENDALE BAYNE RD, SUITE 200, WARRENDALE, PA 15086-7570
(724) 940-9191
(724) 940-9195
Mailing address
2000 CORPORATE DR STE 100, WEXFORD, PA 15090-7609
(724) 940-9190
(724) 940-9195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/22/2006
Last updated
07/20/2021
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