Individual provider · Type 1 NPI

Mackenzie Moore Halupa, PA

Medical Physician Assistant · Allentown, PA

NPI number 1386092377 Active

Practice location

1250 S Cedar Crest Blvd Ste 205
Allentown, PA 18103-6271

Mailing address

2100 Mack Blvd Fl 4
Allentown, PA 18103-5622

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA0588296 (PA)
Medical Physician Assistant Primary 363AM0700XMA0588296 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1386092377

Mackenzie Moore Halupa, PA's National Provider Identifier is 1386092377, issued on May 31, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Allentown, PA. The record was last updated on Jul 18, 2025.