Dr. Jonathan M Mansbach
MD | Pediatric Adolescent Medicine | Male
Dr. Jonathan M Mansbach, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Jonathan M Mansbach is
300 Longwood Ave, Boston, Massachusetts - 02115-5724. He can be contacted on phone at
617-355-7181.
Dr. Jonathan M Mansbach is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jonathan M Mansbach is
1780761312 which was assigned by NPPES on 01 Nov, 2006 and it was last updated on 03 Sep, 2015.
Dr. Jonathan M Mansbach license number is
160172 for Pediatrics Adolescent Medicine (2080A0000X) in Massachusetts.
Dr. Jonathan M Mansbach specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Jonathan M Mansbach basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Jonathan M Mansbach |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Jonathan M Mansbach address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-7181 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780761312 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Nov, 2006 |
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| Last Updated On : | 03 Sep, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jonathan M Mansbach are as mentioned. Primary taxonomy code for Dr. Jonathan M Mansbach, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207RA0000X | Internal Medicine Adolescent Medicine | No | 160172 | MA |
| 208000000X | Pediatrics | No | 160172 | MA |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 160172 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jonathan M Mansbach such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0116777 | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-7181 |
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Business Location:
Patients can refer following map for directions to
Dr. Jonathan M Mansbach practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.