Individual
DR. AMY MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
(215) 955-2340
Mailing address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
(215) 955-2340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD437425
PA
207R00000X
Internal Medicine Physician
MT188649
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199591
—
NJ
05
—
1023236580003
—
PA
Enumeration date
02/14/2009
Last updated
03/21/2017
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