Dr. Kenneth D Mandl

MD, MPH | Pediatrics | Male

Dr. Kenneth D Mandl, MD, MPH is a Boston, Massachusetts based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Kenneth D Mandl is 300 Longwood Ave, Children's Hospital Boston, Boston, Massachusetts - 02115-5735. He can be contacted on phone at 617-355-6624 and fax number 617-730-0335. Dr. Kenneth D Mandl is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kenneth D Mandl is 1396852406 which was assigned by NPPES on 24 Aug, 2006 and it was last updated on 16 Aug, 2007. Dr. Kenneth D Mandl license number is 75410 for Pediatrics (208000000X) in Massachusetts.
Dr. Kenneth D Mandl is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kenneth D Mandl basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Kenneth D Mandl
Credential :MD, MPH
Gender :Male
Business Address:
Dr. Kenneth D Mandl 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, Children's Hospital Boston
Boston, MA, 02115-5735
United States
Phone Number :617-355-6624
Fax Number :617-730-0335
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 : 1396852406
NPI Entity Type : Individual
First Enrolment Date : 24 Aug, 2006
Last Updated On : 16 Aug, 2007
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. Kenneth D Mandl are as mentioned. Primary taxonomy code for Dr. Kenneth D Mandl, MD, MPH is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
2080P0204XPediatrics Pediatric Emergency MedicineNo75410MA
208000000XPediatricsYes75410MA
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kenneth D Mandl such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
3107180MEDICAIDMA
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, Children's Hospital Boston-division Of Emergency Med
Boston, MA, 02115-5737
United States
Phone Number :617-355-6624
Business Location:
Patients can refer following map for directions to Dr. Kenneth D Mandl practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.