Mansfield, Marion Joan
Mansfield, Marion Joan is an individual health care provider with primary practice located at 1 Joslin Place Joslin Diabetes Center, Boston MA 02215. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Mansfield, Marion Joan can be contacted via phone (617) 732-2603.Contact Information
Primary practice address
1 Joslin Place Joslin Diabetes Center
Boston MA 02215
Phone: (617) 732-2603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 44627 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 44627 | Massachusetts |
Profile Details
| NPI number | 1023054251 |
|---|---|
| LBN Legal business name | Mansfield, Marion Joan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023054251 | NPPES |
| Massachusetts | MEDICAID | 6165508 |
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