Individual
DR. FREDERICK MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 BOYLSTON STREET, SUITE 400, CHESTNUT HILL, MA 02467-2402
(617) 731-0200
(617) 731-0289
Mailing address
850 BOYLSTON STREET, 400, CHESTNUT HILL, MA 02467-2402
(617) 731-0200
(617) 731-0289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33727
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167541
—
MA
Enumeration date
11/14/2006
Last updated
07/08/2007
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