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Joan Minette Mack, MD
General Practice Physician in Darby, Pennsylvania
NPI 1558309872

Joan Minette Mack is a General Practice Physician based in Bala Cynwyd, PA. Joan Minette Mack practices in Darby, PA and has the professional credentials of MD. The NPI Number for Joan Minette Mack is 1558309872 and holds a License No. MD030223E (Pennsylvania).

The current practice location address for Joan Minette Mack is 1500 Lansdowne Ave, Darby, PA and can be reached out via phone at 610-237-4814.

Location: 1500 Lansdowne Ave, Darby, PA, 19004-3335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558309872
Provider Name
Joan Minette Mack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1500 Lansdowne Ave, Darby, PA, 19004-3335
Phone Number
610-237-4814
Fax Number
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0012594240014 05 PA
institution
Provider Business Practice Location Address Details
Address
1500 Lansdowne Ave
City
Darby
State
Pennsylvania
Zip
19023-1200
Phone Number
610-237-4814
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Lansdowne Ave
City
Darby
State
Pennsylvania
Zip
19023-1200
Phone Number
610-237-4814
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD 030223-E (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD030223E (Pennsylvania)
Definition
Definition to come...
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