Active NPIIndividual provider

Julia A Mandsager Komatsu

Pediatrics, Adolescent Medicine in Wilbraham, Massachusetts

NPI Number1811526494
Practice location
2207 Boston Road, Wilbraham, MA 01095
Fax
413-596-2940
Last updated
November 20, 2023

Julia Anne Mandsager Komatsu is a Pediatrics, Adolescent Medicine based in Wilbraham, MA. Julia Anne Mandsager Komatsu practices in Wilbraham, MA. The NPI Number for Julia Anne Mandsager Komatsu is 1811526494 and holds a License No. 1015865 (MA). The current practice location address for Julia Anne Mandsager Komatsu is 2207 Boston Road, Wilbraham, MA 01095 and can be reached out via phone at 413-599-1201 and via fax at 413-596-2940.

Provider Profile Details

NPI Number
1811526494
Provider Name
Julia Anne Mandsager Komatsu
Provider Entity Type
Individual
Gender
Female
Address
2207 Boston Road, Wilbraham, MA 01095
Phone Number
413-599-1201
Fax Number
413-596-2940
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2020
Last Update Date
November 20, 2023
Certification Date
April 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2207 Boston Road
Wilbraham, MA 01095
Zip
01095
Phone Number
413-599-1201
Fax Number
413-596-2940
Wilbraham, MA 01095Get directions →

Provider Business Mailing Address Details

Address
2207 Boston Road
Wilbraham, MA 01095
City
Wilbraham
State
MA
Zip
01095
Phone Number
413-599-1201
Fax Number
413-596-2940

License Information

License Number
1015865
License State
MA
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · Primary

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 Julia A Mandsager Komatsu?

The NPI number of Julia A Mandsager Komatsu is 1811526494. It was assigned on April 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Julia A Mandsager Komatsu?

Julia A Mandsager Komatsu is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in MA under license number 1015865.

Where does Julia A Mandsager Komatsu practice?

The practice location is 2207 Boston Road, Wilbraham, MA 01095. The office can be reached at 413-599-1201 (phone) or 413-596-2940 (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 1811526494 directly on the NPPES registry website.

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