NPI 1275522625

Jonathan Eberhard Mack, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Manchester, NH

Practice location

Address: 185 Queen City Ave Elliot Orthopaedic Surgery Specialists, Manchester, NH 03101-7100
Phone: (603) 625-1655
Fax: (603) 626-4686

Registered specialties (2)

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 50942 (WI)

Other Orthopaedic Surgery providers in New Hampshire →

Sports Medicine (Orthopaedic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 33787 (AZ)

Registry record

NPI: 1275522625
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2005
Record last updated: 13 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.