Individual
JACK MCEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5039 SWAMP RD, SUITE 401, FOUNTAINVILLE, PA 18923-9667
(215) 230-8380
(215) 230-8370
Mailing address
5039 SWAMP RD, SUITE 401, PO BOX 417, FOUNTAINVILLE, PA 18923-9667
(215) 230-8380
(215) 230-8370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD045494L
PA
Other
Enumeration date
07/25/2006
Last updated
03/02/2011
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