Individual
DR. JAMES MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S UROLOGICAL FOUNDATION, BOSTON, MA 02115
(617) 355-8338
(617) 730-0474
Mailing address
300 LONGWOOD AVE, CHILDREN'S UROLOGICAL FOUNDATION, BOSTON, MA 02115
(617) 355-8338
(617) 730-0474
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
54192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009226
BMC
—
01
—
0021790
NHP
—
01
—
11273
HNE
—
01
—
3054947
WCT
—
01
—
60617
FCHP
—
05
—
6193382
—
MA
01
—
705720
TUF
—
01
—
7500524
UHP
—
01
—
998064
NETHE
—
01
—
AA8300
HPHC
—
01
—
B21029201
CIG2
—
01
—
P3310627
OXFORD
—
01
—
Z11048
HEALT
—
Enumeration date
01/03/2006
Last updated
09/23/2011
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