Individual
DR. NICHOLAS MACKRIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111
(215) 728-3675
(215) 728-2848
Mailing address
3500 N BROAD ST # 1A, PHILADELPHIA, PA 19140-4106
(215) 728-3675
(215) 728-2848
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD460234
PA
Other
Enumeration date
03/29/2013
Last updated
09/09/2022
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