Individual
DR. JULIE A. MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(717) 531-8044
(717) 531-5596
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD066697L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01741857
—
PA
Enumeration date
05/31/2005
Last updated
05/23/2018
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