John T H Mandeville in East Weymouth - Ophthalmic Plastic And Reconstructive Surgery
John T H Mandeville - NPI 1811986060
John T H Mandeville is a Ophthalmic Plastic And Reconstructive Surgery in East Weymouth, Massachusetts. John T H Mandeville practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for John T H Mandeville is 1811986060. The last update date is 2021-12-23.
John T H Mandeville's current location address is 97 Libbey Industrial Pkwy Ste 100, East Weymouth, Massachusetts. You can contact this provider via phone number 7813313300 and fax number 7813378356. The mailing address for John T H Mandeville is 97 Libbey Industrial Pkwy Ste 100, East Weymouth, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John T H Mandeville |
|---|---|
| Address | 97 Libbey Industrial Pkwy Ste 100, East Weymouth, Massachusetts |
| Phone Number | 7813313300 |
| Fax Number | 7813378356 |
| Sole Proprietor | N |
| Credentials | M.D., PHD |
NPI Number Detail
| NPI Number | 1811986060 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2021-12-23 |
Provider Mailing Address Detail
| Address | 97 Libbey Industrial Pkwy Ste 100 |
|---|---|
| City | East Weymouth |
| State | Massachusetts (MA) |
| Post Code | 21893110 |
| Phone Number | 7813313300 |
| Fax Number | 7813378356 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmic Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Wx0200X |
| Licence No | 209475 |
|
Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 174629 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John T H Mandeville by the Centers for Medicare & Medicaid Services?
The John T H Mandeville has been issued the NPI (National Provider Identifier) 1811986060 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John T H Mandeville is physically located?
The John T H Mandeville is physically situated at the following address: 97 Libbey Industrial Pkwy Ste 100, East Weymouth, MA, 21893110.
What is the John T H Mandeville's specialty and taxonomy code?
The John T H Mandeville's specialty is Ophthalmic Plastic And Reconstructive Surgery, and the corresponding taxonomy code is 207Wx0200X.
On what date was the 1811986060 assigned to John T H Mandeville?
The John T H Mandeville was issued its 1811986060 on 2005-10-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the John T H Mandeville's details last updated?
The information pertaining to the John T H Mandeville, including its address, specialty, and other details, was most recently updated on 2021-12-23.
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