Individual
MARVIN S PACKER
Active
Individual
MARVIN S PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47794
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014950
NEIGHBORHOOD HEALTH
MA
01
—
047794
TUFTS
MA
05
—
3179061
—
MA
01
—
J30278
BLUE CROSS
MA
01
—
M539
HARARD PILGRIM
MA
Enumeration date
07/07/2006
Last updated
06/27/2011
Update your record
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