Organization
BURGOON, MACKAY & SCHULER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J MACKAY M.D., PH.D. (PRESIDENT)
(610) 647-4161
Entity
Organization
Contact information
Practice address
266 LANCASTER AVE, SUITE 304, MALVERN, PA 19355-3256
(610) 647-4161
(610) 647-5397
Mailing address
266 LANCASTER AVE, SUITE 304, MALVERN, PA 19355-3256
(610) 647-4161
(610) 647-5397
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98940
BLUE CROSS BLUE SHIELD
PA
Enumeration date
09/15/2006
Last updated
08/22/2020
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