Jessica A Mandeville in Burlington - Urology
Jessica A Mandeville - NPI 1396916045
Jessica A Mandeville is a Urology in Burlington, Massachusetts. Jessica A Mandeville practices all healthcare services and medical treatments related to Urology. The NPI Number for Jessica A Mandeville is 1396916045. The last update date is 2012-12-18.
Jessica A Mandeville's current location address is 41 Mall Rd, Burlington, Massachusetts. You can contact this provider via phone number 7817442511 and fax number 7817445429. The mailing address for Jessica A Mandeville is 41 Mall Rd, Burlington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica A Mandeville |
|---|---|
| Address | 41 Mall Rd, Burlington, Massachusetts |
| Phone Number | 7817442511 |
| Fax Number | 7817445429 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396916045 |
|---|---|
| Provider Enumeration Date | 2008-03-20 |
| Last Updated Date | 2012-12-18 |
Provider Mailing Address Detail
| Address | 41 Mall Rd |
|---|---|
| City | Burlington |
| State | Massachusetts (MA) |
| Post Code | 18050001 |
| Phone Number | 7817442511 |
| Fax Number | 7817445429 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 251318 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110092756A | MA | -- |
Post Comment/ Review Below
What is the Jessica A Mandeville's 1396916045?
The Jessica A Mandeville's NPI (National Provider Identifier) Number is 1396916045. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jessica A Mandeville is located?
The Jessica A Mandeville is situated at the following address: 41 Mall Rd, Burlington, MA, 18050001.
What is Jessica A Mandeville's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jessica A Mandeville's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
On what date did the Jessica A Mandeville receive its 1396916045 assignment from the Centers for Medicare & Medicaid Services?
The Jessica A Mandeville was assigned its 1396916045 by the Centers for Medicare & Medicaid Services on 2008-03-20.
As of what date were the details related to Jessica A Mandeville most recently updated or revised?
The information pertaining to Jessica A Mandeville, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-18.