Individual
MICHAEL PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 3 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
(215) 349-8222
(215) 662-6530
Mailing address
3400 SPRUCE STREET, 3 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
(215) 349-8222
(215) 662-6530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD034667E
PA
207RG0100X
Gastroenterology Physician
Primary
MD034667E
PA
Other
Enumeration date
07/28/2006
Last updated
11/21/2011
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