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Individual

DR. JUSTIN DANIEL MACCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
807 TURNPIKE AVE, SUITE 230, CLEARFIELD, PA 16830-1238
(814) 768-2822
(814) 768-2821
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 768-2822
(814) 768-2821

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
9400908
NC
207Y00000X
Otolaryngology Physician
Primary
MD430012
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001888778
HIGHMARK PIN
PA
05
1017462840001
PA
Enumeration date
06/12/2006
Last updated
11/28/2014
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