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Individual

JULIA W MACRAE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
E62 OMEGA DR, OMEGA PROFESSIONAL CENTER, NEWARK, DE 19713
(302) 368-9611
(302) 368-3424
Mailing address
E62 OMEGA DR, OMEGA PROFESSIONAL CENTER, NEWARK, DE 19713
(302) 368-9611
(302) 368-3424

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
CI0006929
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000030172
DE
Enumeration date
10/19/2006
Last updated
05/04/2023
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