Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE CAROLYN WALTZ DALLAIRE, PA-C
Active Sole ProprietorMACKENZIE CAROLYN WALTZ DALLAIRE, PA-C is a Surgical Physician Assistant healthcare provider located in CAMDEN, New Jersey. NPI 1164188520 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CAMDEN, NJ
Registration Details
- NPI Number
- 1164188520
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2021 (4.8020829056039 yrs)
- Last Updated
- Oct 4, 2024
- License
-
25MP00728700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 HADDON AVE # ACAMDEN, NJ, 081033109Browse NJ providers · Browse ZIP 08103
- Phone
- 8567573840
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in CAMDEN, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. MINDY SUSAN HAENN | PA-C | 1740256965 |
| HARRY F MCCOY | PA-C | 1376633131 |
| COURTNEY A. CANZANESE | PA-C | 1467514091 |
| ROBERT W. YOUNG | PA-C | 1063576825 |
| NORMAN SCOTT YODER | — | 1114074424 |
| MR. GARY ALAN COOK | PA-C | 1366653503 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.