Kenneth D Mandl is a Pediatrics in Boston, Massachusetts. Kenneth D Mandl practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kenneth D Mandl is 1396852406. The last update date is 2007-08-16.
Kenneth D Mandl's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173556624. The mailing address for Kenneth D Mandl is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth D Mandl |
|---|---|
| Address | 300 Longwood Ave, Boston, Massachusetts |
| Phone Number | 6173556624 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD, MPH |
NPI Number Detail
| NPI Number | 1396852406 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2007-08-16 |
Provider Mailing Address Detail
| Address | 300 Longwood Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21155737 |
| Phone Number | 6173556624 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 75410 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3107180 | MA | -- |
Post Comment/ Review Below
What is the Kenneth D Mandl's 1396852406?
The Kenneth D Mandl's NPI (National Provider Identifier) Number is 1396852406. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth D Mandl?
The Kenneth D Mandl is situated at 300 Longwood Ave, in the city of Boston, state of MA, with the zip code 21155737.
What is Kenneth D Mandl's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth D Mandl is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396852406 to Kenneth D Mandl?
The Centers for Medicare & Medicaid Services assigned the 1396852406 to Kenneth D Mandl on 2006-08-24.
As of what date were the details related to Kenneth D Mandl most recently updated or revised?
The information pertaining to Kenneth D Mandl, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-16.