| Mandala Health Services Llc | |
|
18 Lyman St Ste 245 Westborough MA 01581-1459 | |
| (508) 599-2388 | |
| (508) 599-2389 |
| Full Name | Mandala Health Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18 Lyman St Ste 245, Westborough, Massachusetts |
| Authorized Official Name and Position | David P Morin (OWNER) |
| Authorized Official Contact | 5085992388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandala Health Services Llc Po Box 136 Northborough MA 01532-0136 Ph: (978) 505-1949 | Mandala Health Services Llc 18 Lyman St Ste 245 Westborough MA 01581-1459 Ph: (508) 599-2388 |
| NPI Number | 1891441069 |
|---|---|
| Provider Enumeration Date | 02/26/2022 |
| Last Update Date | 02/26/2022 |
| Certification Date | 02/26/2022 |
| Medicare PECOS PAC ID | 4981075793 |
|---|---|
| Medicare Enrollment ID | O20230113000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891441069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | David Patrick Morin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215910914 PECOS PAC ID: 9739135195 Enrollment ID: I20050329000579 |
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