location
search-icon
person
Mackenzie Carolyn Waltz Dallaire, PA-C
Surgical Physician Assistant in Camden, New Jersey
NPI 1164188520

Mackenzie Carolyn Waltz Dallaire is a Surgical Physician Assistant based in Camden, NJ and is specialized in Surgical. Mackenzie Carolyn Waltz Dallaire practices in Camden, NJ and has the professional credentials of PA-C. The NPI Number for Mackenzie Carolyn Waltz Dallaire is 1164188520 and holds a License No. (New Jersey).

The current practice location address for Mackenzie Carolyn Waltz Dallaire is 1601 Haddon Ave # A, Camden, NJ and can be reached out via phone at 856-757-3840.

Location: 1601 Haddon Ave # A, Camden, NJ, 08103-3109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164188520
Provider Name
Mackenzie Carolyn Waltz Dallaire
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1601 Haddon Ave # A, Camden, NJ, 08103-3109
Phone Number
856-757-3840
Fax Number
Provider Enumeration Date
11/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 Haddon Ave # A
City
Camden
State
New Jersey
Zip
08103-3109
Phone Number
856-757-3840
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Haddon Ave # A
City
Camden
State
New Jersey
Zip
08103-3109
Phone Number
856-757-3840
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
25MP00728700 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.