Mandell, Mark H

Mandell, Mark H is an individual health care provider with primary practice located at 72 Highland Ave Pediatric Associates Of Greater Salem, Salem MA 01970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mandell, Mark H can be contacted via phone (978) 745-3050.

Contact Information

Primary practice address
72 Highland Ave Pediatric Associates Of Greater Salem Salem MA 01970
Phone: (978) 745-3050
Fax: (978) 744-9594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50826 Massachusetts

Profile Details

NPI number 1942272240
LBN Legal business name Mandell, Mark H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 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 1942272240 NPPES
Massachusetts MEDICAID 2091321
Massachusetts Other 050827
Massachusetts Other J02433

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