Individual
DR. AWATHIF DHANYA MACKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
190 WELLES ST, FORTY FORT, PA 18704-4968
(570) 714-1099
(570) 714-1116
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD437466
PA
207VM0101X
Maternal & Fetal Medicine Physician
MD437466
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2007
Last updated
08/13/2020
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