Healthcare Provider Details

I. General information

NPI: 1427021872
Provider Name (Legal Business Name): JOHN Z MCDONALD D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOHN Z MCDONALD DO

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 09/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 BUSTLETON PIKE
FEASTERVILLE TREVOSE PA
19053-6051
US

IV. Provider business mailing address

523 BUSTLETON PIKE
FEASTERVILLE TREVOSE PA
19053-6051
US

V. Phone/Fax

Practice location:
  • Phone: 215-355-7900
  • Fax: 215-355-9005
Mailing address:
  • Phone: 215-355-7900
  • Fax: 215-355-9005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS004867L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: