Organization
JAMES V. MACKELL, JR. M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES V MACKELL JR. M.D. (OWNER)
(215) 335-4230
Entity
Organization
Contact information
Practice address
2701 HOLME AVE, SUITE 204, PHILADELPHIA, PA 19152-2029
(215) 335-4230
Mailing address
PO BOX 1628, HORSHAM, PA 19044-6628
(215) 830-9991
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008475570002
—
PA
Enumeration date
01/16/2007
Last updated
08/22/2020
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