Individual
MACKENZIE GROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00478900
NJ
363AM0700X
Medical Physician Assistant
25MP00478900
NJ
Other
Enumeration date
09/18/2018
Last updated
04/09/2026
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