Provider Demographics
NPI:1760460596
Name:MCNAMARA, JOHN P (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:MCNAMARA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:717-248-5431
Mailing Address - Fax:717-248-5038
Practice Address - Street 1:217 S LOGAN BLVD
Practice Address - Street 2:
Practice Address - City:BURNHAM
Practice Address - State:PA
Practice Address - Zip Code:17009-1825
Practice Address - Country:US
Practice Address - Phone:717-248-5431
Practice Address - Fax:717-248-5038
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010063L207RC0000X
PABM5962356207RC0000X
NJ25MB07073800207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0146641Medicaid
AZH95218Medicare UPIN
AZ106728Medicare ID - Type Unspecified
AZ806630Medicaid