Dr. Scott William Mack
Obstetrician & Gynecologist
1860 Mowry Ave Suite 400
Fremont
, California 94538-1730
Dr. Scott William Mack
Obstetrician & Gynecologist
1860 Mowry Ave Suite 400
Fremont
, California 94538-1730
(510) 794-9783
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Scott William Mack
- 1860 Mowry Ave Suite 400
- Fremont, CA
- Zip : 94538-1730
- Fax : (510) 794-9783
- Phone : (510) 796-7104
Second Address
- Dr. Scott William Mack
- 1860 Mowry Ave Suite 400
- Fremont, CA
- Zip : 94538-1730
- Fax : (510) 794-9783
- Phone : (510) 796-7104
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | G077240 | CA |
National Provider Identifier
| NPI | 1003860073 |
|---|---|
| Provider Name | Dr. Scott William Mack |
| First Address | Fremont, CA 94538-1730 |
| Second Address | Fremont, CA 94538-1730 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G772401 | (05) | CA |
| C74877 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.