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Mr. Michael Anthony Mandella, MALIC99
Specialist in Lunenburg, Massachusetts
NPI 1285272559

Michael Anthony Mandella is a Specialist based in Lunenburg, MA. Michael Anthony Mandella practices in Lunenburg, MA and has the professional credentials of MALIC99. The NPI Number for Michael Anthony Mandella is 1285272559 and holds a License No. MA99 (Massachusetts).

The current practice location address for Michael Anthony Mandella is 615 Reservoir Rd, Lunenburg, MA and can be reached out via phone at 978-771-7582 and via fax at 978-582-8264.

Location: 615 Reservoir Rd, Lunenburg, MA, 01462-1540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285272559
Provider Name
Michael Anthony Mandella
Credential
MALIC99
Provider Entity Type
Individual
Gender
Male
Address
615 Reservoir Rd, Lunenburg, MA, 01462-1540
Phone Number
978-771-7582
Fax Number
978-582-8264
Provider Enumeration Date
12/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
615 Reservoir Rd
City
Lunenburg
State
Massachusetts
Zip
01462-1540
Phone Number
978-771-7582
Fax Number
978-582-8264
person
Provider Business Mailing Address Details
Address
615 Reservoir Rd
City
Lunenburg
State
Massachusetts
Zip
01462-1540
Phone Number
978-771-7582
Fax Number
978-582-8264
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA99 (Massachusetts)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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