NPI 1336036615

Martel L Pack

Practitioner Nutritionist Philadelphia, PA

Practice location

Address: 5401 Tacony St Bldg 38k3, Philadelphia, PA 19137
Phone: (445) 207-6002

Registered specialties (2)

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

Other Nutritionist providers in Pennsylvania →

Obesity and Weight Management Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1201X

Other Dietitian, Registered providers in Pennsylvania →

Registry record

NPI: 1336036615
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2025
Record last updated: 19 Jun 2025

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.