Search › New Jersey › 363AS0400X
Mackenzie Dallaire, PA-C
NPI 1164188520 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1601 Haddon Ave # A
Camden, NJ 08103 - Phone
- (856) 757-3840
- Clinicians at this address
- 5
Additional practice sites
- 4170 City Ave, Philadelphia, PA
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 390200000X
- Licence states on file
- PA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey