Maceda, Jose S

Maceda, Jose S is an individual health care provider with primary practice located at 120 Valley Green Ln Ste 610 , King Of Prussia PA 19406-2080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Maceda, Jose S can be contacted via phone (484) 685-3045.

Contact Information

Primary practice address
120 Valley Green Ln Ste 610 King Of Prussia PA 19406-2080
Phone: (484) 685-3045
Fax: (484) 685-3046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD073265L Pennsylvania

Profile Details

NPI number 1952447997
LBN Legal business name Maceda, Jose S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jun 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952447997 NPPES
Pennsylvania MEDICAID 101402560

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