Individual
DAVID GEORGE MACBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1925 PACIFIC AVE, DEPARTMENT OF EMERGENCY MEDICINE, ATLANTIC CITY, NJ 08401-6713
(609) 441-8053
Mailing address
7 LOWBRIDGE PSGE, MEDFORD, NJ 08055-3354
(609) 654-6575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MB080476
NJ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
OT010151
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111155
—
NJ
01
—
2817667000
AMERIHEALTH
NJ
01
—
30037329
KEYSTONE MERCY
NJ
01
—
60024445
HORIZON NJ HEALTH
NJ
Enumeration date
05/04/2006
Last updated
12/14/2009
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