Mack, Johnathan

Mack, Johnathan is an sole proprietor health care provider with primary practice located at 55 Fruit Street Massachusetts General Hospital, Blood Bank, Grj-238, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine. Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine is his primary health care specialty. Mack, Johnathan can be contacted via phone (617) 726-3785.

Contact Information

Primary practice address
55 Fruit Street Massachusetts General Hospital, Blood Bank, Grj-238 Boston MA 02114
Phone: (617) 726-3785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 267360 Massachusetts
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 267360 Massachusetts

Profile Details

NPI number 1972982650
LBN Legal business name Mack, Johnathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2015
Last updated Sep 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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