DR. ROBERT THOMAS MACK MD NPI 1356985105

NPI Information

NPI: 1356985105
Provider Name: DR. ROBERT THOMAS MACK, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1311 WESTVIEW DR
BERKELEY, CA
ZIP 94705
Phone: (510) 967-9378
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DR. Robert Thomas Mack, MD is a general practice in Berkeley, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Robert Thomas Mack, MD NPI is 1356985105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1311 WESTVIEW DR
BERKELEY, CA
ZIP 94705-652
Phone: (510) 967-9378

The enumeration date for this NPI number is 11/5/2019 and was last updated on 11/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		G25338	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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