Individual
DAMIAN RUTLAND MACKAY-MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
16 STAFFORD RD, SIMSBURY, CT 06070-2533
(860) 651-5372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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