Individual
JACK MACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1501 MOUNT PLEASANT RD, VILLANOVA, PA 19085-2112
(670) 527-1400
Mailing address
PO BOX 428, LEHIGHTON, PA 18235-0428
(570) 386-2366
(570) 386-3130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN22868L
PA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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