Individual
DR. ANNE C MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2006 FOULK RD, SUITE B, WILMINGTON, DE 19810-3644
(302) 529-8783
(302) 529-7470
Mailing address
700 W LEA BLVD, SUITE 102, WILMINGTON, DE 19802-2500
(302) 764-0271
(302) 762-4076
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C10004256
DE
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
C10004256
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000542301
DE PHYSICIANS CARE
DE
05
—
0000542301
—
DE
01
—
0691099000
AMERIHEALTH-HMO
DE
01
—
1131445
CIGNA
DE
01
—
2008066
AETNA-HMO
DE
01
—
250004651
RAILROAD MEDICARE
DE
01
—
293736
MIAMSI/OPTIMUM CHOICE
DE
01
—
386606954
BC/BS
DE
01
—
4390070
AETNA-PPO
DE
01
—
46211
COVENTRY
DE
01
—
510329923
UNITED HEALTH CARE
DE
01
—
5749069
AMERIHEALTH PPO
DE
01
—
P2727901
OXFORD HEALTH PLAN
DE
Enumeration date
08/30/2006
Last updated
04/01/2016
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