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Individual

RICHARD P MACKESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
210 W SAINT GEORGES AVE FL 2, LINDEN, NJ 07036-3900
(908) 486-1111
(908) 486-2723
Mailing address
210 W SAINT GEORGES AVE FL 2, LINDEN, NJ 07036-3900
(908) 486-1111
(908) 486-2723

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA03700800
NJ
207XS0106X
Orthopaedic Hand Surgery Physician
25MA03700800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1610309
NJ
Enumeration date
02/16/2006
Last updated
03/25/2019
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