Individual
DR. JEFFREY BRIAN MENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 OTIS STREET, NEWTON, MA 02465-2524
(617) 237-0374
Mailing address
180 OTIS ST, NEWTON, MA 02465-2524
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50755
MA
2085R0202X
Diagnostic Radiology Physician
Primary
13160
RI
2085R0202X
Diagnostic Radiology Physician
14769
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J01153
—
MA
01
—
J0115302
MEDICARE TTAN
RI
05
—
JM80923
—
RI
Enumeration date
11/09/2005
Last updated
01/28/2026
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