Individual
ALLAN PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB, PHD
Contact information
Practice address
3400 SPRUCE STREET, 3 RAVDIN BUILDING, SUITE F, PHILADELPHIA, PA 19104-4206
(215) 662-3202
(215) 349-8432
Mailing address
3400 SPRUCE STREET, 3 RAVDIN BUILDING, SUITE F, PHILADELPHIA, PA 19104-4206
(215) 662-3202
(215) 349-8432
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
MD038221L
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD038221L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000896533
—
PA
Enumeration date
10/02/2006
Last updated
11/06/2012
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