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1346390044
JASON MACK
NEW YORK, NY
NPI
1346390044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 178505)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
Dr. JASON MACK MD
1901 1ST AVE DEPT OF PEDIATRICS ROOM 523
NEW YORK, NY 10029-7404
Phone number: 212-423-6228
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Mailing Address
Dr. JASON MACK MD
253 W 123RD ST
NEW YORK, NY 10027-5429
Phone number: 212-423-6228
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