Coles, Mandy Sara

Coles, Mandy Sara is an individual health care provider with primary practice located at 850 Harrison Avenue Yacc 5, Boston MA 02118. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Coles, Mandy Sara can be contacted via phone (617) 414-5946.

Contact Information

Primary practice address
850 Harrison Avenue Yacc 5 Boston MA 02118
Phone: (617) 414-5946
Fax: (617) 414-4541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 253765 Massachusetts
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 253765 Massachusetts

Profile Details

NPI number 1851372759
LBN Legal business name Coles, Mandy Sara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated May 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851372759 NPPES
Massachusetts MEDICAID 110094529A

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