Avram Mack

NPI 1811972573 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1811972573
Gender Male
Enumeration Date 12/14/2005
Last Updated 03/03/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
3401 CIVIC CENTER BLVD
PHILADELPHIA PA, 19104, US
Phone (215) 590-7555
Fax
Business Location
3401 CIVIC CENTER BLVD
PHILADELPHIA PA, 19104, US
Phone (215) 590-7555
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State DO Columbia
License Number 35487
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According to our database, Avram Mack NPI is 1811972573, taxonomy code is 2084P0800X and license number is 35487, license state is located at DO Columbia. Avram Mack physically located at 3401 Civic Center Blvd, Philadelphia PA, 19104. NPI Number Avram Mack has the Individual type.

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1811972573 NPI number is provided on an as is basis without warranty of any kind. 1811972573 is maintained by the National Plan & Provider Enumeration System. The contents of Avram Mack are for informational purposes only.