Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK MCEWAN, M.D
ActiveFamily Medicine · FOUNTAINVILLE, PA
Registration Details
- NPI Number
- 1457374183
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (19.782053097222 yrs)
- Last Updated
- Mar 2, 2011
- License
-
MD045494L (PA)
Practice Information
- Address
-
5039 SWAMP RDSUITE 401FOUNTAINVILLE, PA, 189239667Browse PA providers · Browse ZIP 18923
- Phone
- 2152308380
- Fax
- 2152308370
- Primary Specialty
-
Family Medicine
207Q00000X
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.