Individual
MICHAEL J MACAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD445241
PA
207R00000X
Internal Medicine Physician
MT194419
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD445241
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027328280001
—
PA
Enumeration date
05/08/2009
Last updated
11/14/2019
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