Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Martel L Pack

Individual provider Nutritionist · NPI 1336036615

Martel L Pack is a Nutritionist in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

5401 Tacony St Bldg 38K3
Philadelphia, PA 19137
Phone: (445) 207-6002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X
Obesity and Weight Management Nutrition Registered Dietitian Taxonomy 133VN1201X

Record details

NPI number1336036615
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

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