Individual
LUKE C PAK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 2, BOSTON, MA 02118-2908
(617) 414-7399
(617) 414-4676
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
281102
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110116721A
—
MA
Enumeration date
03/22/2016
Last updated
04/27/2021
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