Organization
BAY AREA OBGYN MEDICAL GROUP
Active
Other names
SCOTT W. MACK MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT WILLIAM MACK MD (MEDICAL DOCTOR OWNER)
(510) 796-7104
Entity
Organization
Contact information
Practice address
1860 MOWRY AVE, # 400, FREMONT, CA 94538-1730
(510) 796-7104
(510) 793-9783
Mailing address
1860 MOWRY AVE # 400, FREMONT, CA 94538-1722
(510) 796-7104
(510) 794-9783
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G772400
CA
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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