Individual
MR. MAURICE TOM PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4099
(315) 785-4000
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4099
(315) 785-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
311508
NY
207X00000X
Orthopaedic Surgery Physician
Primary
ME125344
FL
Other
Enumeration date
07/20/2015
Last updated
07/20/2021
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