Belfort, Mandy Brown

Belfort, Mandy Brown is an individual health care provider with primary practice located at 300 Longwood Ave Hunnewell 4, Boston MA 02115-5724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Belfort, Mandy Brown can be contacted via phone (617) 355-7245.

Contact Information

Primary practice address
300 Longwood Ave Hunnewell 4 Boston MA 02115-5724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 213645 Massachusetts

Profile Details

NPI number 1508874389
LBN Legal business name Belfort, Mandy Brown
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508874389 NPPES
Massachusetts MEDICAID 0195600

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