Mandell, Frederick

Mandell, Frederick is an individual health care provider with primary practice located at 850 Boylston Street Suite 400, Chestnut Hill MA 02467-2402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mandell, Frederick can be contacted via phone (617) 731-0200.

Contact Information

Primary practice address
850 Boylston Street Suite 400 Chestnut Hill MA 02467-2402
Phone: (617) 731-0200
Fax: (617) 731-0289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33727 Massachusetts

Profile Details

NPI number 1962574269
LBN Legal business name Mandell, Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1962574269 NPPES
Massachusetts MEDICAID 0167541

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