MEDICARE: DR. GREGORY MCDONALD DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZF0201X	Forensic Pathology Physician	OSOO7268L	PA

General Provider Information

NPI Number	:	1578422127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY MCDONALD DO

Provider Business Mailing Address
First Line	:	66 MARPLE DR
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-2121
Country	:	US
Telephone Number	:	215-287-7465
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 MARPLE DR
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-2121
Country	:	US
Telephone Number	:	215-287-7465
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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