Individual
DR. JACQUELINE BASSETT MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MEDICAL CAMPUS DR, LANSDALE, PA 19446-1259
(215) 361-4854
Mailing address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD437368
PA
208M00000X
Hospitalist Physician
Primary
MD437368
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102450884
—
PA
01
—
MA2150853
BLUESHIELD - HIGHMARK
—
Enumeration date
09/12/2008
Last updated
03/17/2018
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