Individual
MACKENZIE MOORE HALUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 205, ALLENTOWN, PA 18103-6271
(610) 402-9116
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA0588296
PA
363AM0700X
Medical Physician Assistant
Primary
MA0588296
PA
Other
Enumeration date
05/31/2016
Last updated
07/18/2025
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