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Individual

DR. AMY MACINTYRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 PRESIDENTIAL BLVD, SUITE 232, BALA CYNWYD, PA 19004-1008
(610) 667-1781
Mailing address
111 PRESIDENTIAL BLVD, SUITE 232, BALA CYNWYD, PA 19004-1008
(610) 667-1781

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD418660
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD418660
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1681044
BLUE CROSS
PA
Enumeration date
06/08/2008
Last updated
06/08/2008
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