Robert Thomas Mack, MD

General Practice Physician · Berkeley, CA

Individual Active NPI

NPI number 1356985105

Practice location

1311 Westview Dr
Berkeley, CA 94705-1652
Phone
(510) 967-9378

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NPI record

NPI
1356985105
Entity type
Individual (Type 1)
Enumeration date
November 5, 2019
Last updated
November 5, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X G25338 CA

About Dr. Mack

Robert Thomas Mack, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1311 Westview Dr, Berkeley, CA 94705-1652. The NPI number 1356985105 was assigned on November 5, 2019 and the record was last updated on November 5, 2019.

Dr. Mack lists a license in the registry: #G25338 (CA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Thomas Mack, MD?

The NPI number is 1356985105.

What is the phone number of Dr. Mack?

The phone number listed for the practice location is (510) 967-9378.

Where is Dr. Mack located?

1311 Westview Dr, Berkeley, CA 94705-1652.

What is the taxonomy code for Dr. Mack?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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