Organization
FREDERICK L. MANSFIELD, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK L. MANSFIELD M.D. (PRESIDENT)
(617) 726-5919
Entity
Organization
Contact information
Practice address
0 EMERSON PL, BOSTON, MA 02114-2241
(617) 726-5919
(617) 742-7849
Mailing address
0 EMERSON PL, BOSTON, MA 02114-2241
(617) 726-5919
(617) 742-7849
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
44332
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18868
BC/BS OF MASSACHUSETTS
MA
Enumeration date
07/14/2007
Last updated
07/14/2007
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