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Individual

DR. FREDERICK L MANSFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
0 EMERSON PL, SUITE 120 E00-120, BOSTON, MA 02114-2241
(617) 726-5919
(617) 742-7849
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44332
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0152269
MA
01
714668
TUFTS HEALTH PLAN
MA
01
E05637
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
06/13/2011
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