Individual
BREANNA MARIE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
296 E BROWN ST, EAST STROUDSBURG, PA 18301-3011
(570) 424-2830
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064979
PA
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
08/21/2023
Last updated
12/06/2023
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