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JOAN MINETTE MACK M.D.
NPI 1558309872
General Practice in Darby, PA

Active since June 02, 2006
1500 LANSDOWNE AVE, DARBY, PA 19023(610) 237-4814 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Joan Minette Mack M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOAN MINETTE MACK M.D. (NPI 1558309872) is an individual general practice provider in Darby, Pennsylvania, licensed in Pennsylvania (MD 030223-E) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1558309872
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameJOAN MINETTE MACKCredential: M.D.
Location Address1500 LANSDOWNE AVEDarby, PA 19023-1200
Mailing Address20 Conshohocken State Rd, Apt 406Bala Cynwyd, PA 19004-3335
Phone(610) 237-4814
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateAugust 28, 2015
✔ NPI 1558309872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · MD 030223-E
Definition
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
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License MD030223E (PA)
1500 LANSDOWNE AVE, Darby, PA 19023
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Other Identifiers 3

Medicare UPINB39175
Medicaid0012594240014PA
Medicare PIN692906PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL FORD CRNA
Nurse Anesthetist, Certified Registered
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4500
TUBA ANWAR KHAN MD
Student in an Organized Health Care Education/Training Program
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4000
CEP AMERICA - ANESTHESIA PC
Anesthesiology
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4000
CRAIG CARPENTER CRNA
Nurse Anesthetist, Certified Registered
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (856) 423-7700
LAURA SOFIA DE LEON BENEDETTI MD
Student in an Organized Health Care Education/Training Program
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4684
DR. JOHN RUSSELL GOOCH M.D,
Emergency Medicine
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4000
DR. RABIA NASEEM MD
Student in an Organized Health Care Education/Training Program
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4000
JABILI ANGINA
Student in an Organized Health Care Education/Training Program
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joan Mack's NPI number?

The NPI number for Joan Mack is 1558309872. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Joan Mack located?

Joan Mack practices at 1500 Lansdowne Ave, Darby, PA 19023. The listed phone number is (610) 237-4814.

What is Joan Mack's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Joan Mack was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.