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Dr. Ethan Andrew Mack

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NPI Number Detailed Information

Provider Information:

Name: Dr. Ethan Andrew Mack
Gender: M
Provider License Number If Given:

NPI Information:

NPI: 1922627843
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/10/2020

Last Update Date: 4/12/2020

Provider Business Mailing Address:

Address: 3400 CIVIC CENTER BLVD FL 6
Philadelphia, PA 19104
Phone Number: 2156623957
Fax Number:

Provider Business Practice Location Address:

Address: 3400 SPRUCE ST
Philadelphia, PA 19104
Phone Number: 2156624829
Fax Number:

Provider Taxonomy:

Primary: 390200000X
Secondary (if any):
State: PA

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About Dr. Ethan Andrew Mack

Dr. Ethan Andrew Mack (DR. ETHAN ANDREW MACK ) is An Student in an Organized Health Care Education/Training Program Physician in Philadelphia, PA. The NPI Number for Dr. Ethan Andrew Mack is 1922627843.
The current location address for Dr. Ethan Andrew Mack is 3400 SPRUCE ST Philadelphia, PA 19104 and the contact number is 2156623957 and fax number is . The mailing address for Dr. Ethan Andrew Mack is 3400 CIVIC CENTER BLVD FL 6 Philadelphia, PA 19104- 2156624829 (mailing address contact number - 2156623957).
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Ethan Andrew Mack ?


Answer: The NPI Number for Dr. Ethan Andrew Mack is 1922627843

Where is Dr. Ethan Andrew Mack located?


Answer: Dr. Ethan Andrew Mack is located at 3400 SPRUCE ST Philadelphia, PA 19104.

What is the specialty for Dr. Ethan Andrew Mack ?


Answer: The Specialty of Dr. Ethan Andrew Mack is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Dr. Ethan Andrew Mack ?


Answer: Not yet!

Are there any other health care providers in Philadelphia, PA?


Answer: Yes, there are given below...

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