Search › Massachusetts › 174400000X
Michael Mandella, MA LIC 99
NPI 1285272559 · on the registry since 2019 · sole proprietor
Practice
- Address
- 615 Reservoir Rd
Lunenburg, MA 01462 - Phone
- (978) 771-7582
- Fax
- (978) 582-8264
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts