Individual
DR. JOSE S MACEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 VALLEY GREEN LN STE 610, KING OF PRUSSIA, PA 19406-2080
(484) 685-3045
(484) 685-3046
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD073265L
PA
207VG0400X
Gynecology Physician
MD073265L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101402560
—
PA
Enumeration date
01/29/2007
Last updated
02/15/2025
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