Mendel, Jeffrey Brian

Mendel, Jeffrey Brian is an individual health care provider with primary practice located at 180 Otis Street , Newton MA 02465-2524. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Other Service Providers / Specialist is his primary health care specialty. Mendel, Jeffrey Brian can be contacted via phone (617) 237-0374.

Contact Information

Primary practice address
180 Otis Street Newton MA 02465-2524
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 50755 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13160 Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 14769 New Hampshire

Profile Details

NPI number 1326029166
LBN Legal business name Mendel, Jeffrey Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 29th, 2010 - about 14 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 1326029166 NPPES
Rhode Island MEDICAID JM80923
Rhode Island Other J0115302
Rhode Island MEDICAID J01153

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