Active NPIIndividual provider

Mazen R Al-Mansour, MBBS

Surgery in Springfield, Massachusetts

NPI Number1316146756
Practice location
2 Medical Center Drive, Suite 308, Springfield, MA 01107-1270
Fax
413-794-2670
Last updated
March 5, 2020

Mazen Rafique Al-Mansour is a Surgery based in Springfield, MA. Mazen Rafique Al-Mansour practices in Springfield, MA and has the professional credentials of MBBS. The NPI Number for Mazen Rafique Al-Mansour is 1316146756 and holds a License No. ME144439 (FL). The current practice location address for Mazen Rafique Al-Mansour is 2 Medical Center Drive, Suite 308, Springfield, MA 01107-1270 and can be reached out via phone at 413-794-7020 and via fax at 413-794-2670.

Provider Profile Details

NPI Number
1316146756
Provider Name
Mazen Rafique Al-Mansour
Credential
MBBS
Provider Entity Type
Individual
Gender
Male
Address
2 Medical Center Drive, Suite 308, Springfield, MA 01107-1270
Phone Number
413-794-7020
Fax Number
413-794-2670
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2007
Last Update Date
March 5, 2020
Certification Date
March 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Medical Center Drive
Suite 308
Springfield, MA 01107-1270
Zip
01107-1270
Phone Number
413-794-7020
Fax Number
413-794-2670
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
1600 SW Archer RD
Box 100109
Gainesville, FL 32610
City
Gainesville
State
FL
Zip
32610
Phone Number
352-265-0761

License Information

License Number (1)
ME144439
License State (1)
FL
Taxonomy (1)
Surgery · 208600000X · Primary
License Number (2)
250915
License State (2)
MA
Taxonomy (2)
Surgery · 208600000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mazen R Al-Mansour, MBBS?

The NPI number of Mazen R Al-Mansour, MBBS is 1316146756. It was assigned on July 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Mazen R Al-Mansour, MBBS?

Mazen R Al-Mansour, MBBS is registered under the primary taxonomy Surgery (code 208600000X), licensed in FL under license number ME144439.

Where does Mazen R Al-Mansour, MBBS practice?

The practice location is 2 Medical Center Drive, Suite 308, Springfield, MA 01107-1270. The office can be reached at 413-794-7020 (phone) or 413-794-2670 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316146756 directly on the NPPES registry website.

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