Search › Massachusetts › 207X00000X
Philip Mack, MD
NPI 1861476798 · on the registry since 2005
Practice
- Address
- 516 Carew St
Springfield, MA 01104 - Phone
- (413) 787-2047
- Fax
- (413) 787-2054
- Organisation at this address
- Shriners Hospitals For Children
The Shriners' Hospital For Children
The Shriners' Hospital For Children
The Shriners' Hospital For Children
Pediatric Orthotic And Prosthetic Services-Northeast,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 282 Washington St, Hartford, CT
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 207XP3100X
- Licence states on file
- CT, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts