Individual
DR. MARISA MENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
199 WELLS AVE STE 102, NEWTON CENTRE, MA 02459-3320
(781) 472-1477
(412) 753-7640
Mailing address
199 WELLS AVE STE 102, NEWTON CENTRE, MA 02459-3320
(781) 472-1477
(412) 753-7640
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
258996
MA
2084P0800X
Psychiatry Physician
330764
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
258996
MA
2084P0804X
Child & Adolescent Psychiatry Physician
330764
NY
Other
Enumeration date
03/30/2011
Last updated
12/12/2024
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