Provider Demographics
NPI:1346218997
Name:MACEWEN, GEORGE DEAN (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:DEAN
Last Name:MACEWEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 OMEGA DR
Mailing Address - Street 2:BUILDING K
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2057
Mailing Address - Country:US
Mailing Address - Phone:302-368-5100
Mailing Address - Fax:302-454-7733
Practice Address - Street 1:15 OMEGA DR
Practice Address - Street 2:BUILDING K
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2057
Practice Address - Country:US
Practice Address - Phone:302-368-5100
Practice Address - Fax:302-454-7733
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0001419207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery