Jonathan M Mansbach in Boston - Adolescent Medicine

Jonathan M Mansbach - NPI 1780761312

Jonathan M Mansbach is a Adolescent Medicine in Boston, Massachusetts. Jonathan M Mansbach practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jonathan M Mansbach is 1780761312. The last update date is 2015-09-03.

Jonathan M Mansbach's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173557181. The mailing address for Jonathan M Mansbach is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan M Mansbach
Address 300 Longwood Ave, Boston, Massachusetts
Phone Number 6173557181
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1780761312
Provider Enumeration Date 2006-11-01
Last Updated Date 2015-09-03

Provider Mailing Address Detail

Address 300 Longwood Ave
City Boston
State Massachusetts (MA)
Post Code 21155724
Phone Number 6173557181
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 160172
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
116777 MA --

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FAQs about Jonathan M Mansbach

What is the unique provider identifier assigned to Jonathan M Mansbach?

The Jonathan M Mansbach has been issued the NPI (National Provider Identifier) 1780761312 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Jonathan M Mansbach is geographically located?

The Jonathan M Mansbach is physically situated at the following location: 300 Longwood Ave, Boston, MA, 21155724.

What is Jonathan M Mansbach's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jonathan M Mansbach is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.

On what date was the 1780761312 assigned to Jonathan M Mansbach?

The Jonathan M Mansbach was issued its 1780761312 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jonathan M Mansbach, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jonathan M Mansbach, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-03.

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