Dr. Mark Mantell, M.D.
in Philadelphia, PA. Individual provider (NPI-1).
NPI number1104984046
StatusActive
Last updated in NPPESJun 13, 2025
Details
- NPI
- 1104984046
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Mantell
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Jun 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | md047966l | PA | Yes |
Practice location
51 N. 39th StreetHeart & Vascular Pavilion 4th Floor
Philadelphia, PA 19104-2640
Phone 215-662-9551 · Fax 215-243-3225
Mailing address
Po Box 416147Boston, MA 02241-6147
Phone 610-644-8900 · Fax 484-924-0053
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