Individual
EDWARD J. MACKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
147 GETTYS ST, GETTYSBURG, PA 17325-2534
(717) 337-4168
(717) 337-4318
Mailing address
1803 MOUNT ROSE AVE, STE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD052341L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD052341L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0710598000
AMERIHEALTH 65 PA-GH
PA
01
—
141059
UNISON GH
PA
01
—
1531317
GATEWAY GH
PA
01
—
20021398
AMERIHEALTH MERCY-GH
PA
01
—
34349
GEISINGER-GH
PA
01
—
50067114
CAPITAL BLUE CROSS GH
PA
01
—
766549
HIGHMARK GH
PA
01
—
P00010335
RAILROAD MEDICARE GH
PA
Enumeration date
06/14/2006
Last updated
10/30/2007
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