Organization
MAC PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT E SCHALLER MD (PRESIDENT)
(302) 235-8808
Entity
Organization
Contact information
Practice address
5936 LIMESTONE RD STE 301B, HOCKESSIN, DE 19707-8932
(302) 235-8808
(302) 235-8808
Mailing address
1205 KINTERRA CT, WEST CHESTER, PA 19382-6976
(302) 235-8808
(302) 351-8769
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C10004737
DE
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012007330059
—
PA
Enumeration date
08/09/2013
Last updated
12/04/2023
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