National Provider Identifier

Sidney McDonald Mangrum, PA-C

Sidney McDonald Mangrum, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (651) 491-6546.

NPI 1982089033Boston, MAPhysician Assistant

Source: public NPPES record, last updated August 03, 2015. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1982089033
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 29, 2015
Last Updated
August 03, 2015

Practice Location

  • 800 Washington St
  • Boston, MA 02111-1552

Phone: (651) 491-6546

Specialties

  • Physician Assistant (363A00000X)

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Biography

Sidney Mangrum, PA-C, is a physician assistant based at Tufts Medical Center in Boston. Mangrum’s public professional profile lists physician assistant training at MCPHS University and NCCPA board certification.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1982089033
Entity Type
Individual
Last Name
Mangrum
First Name
Sidney
Middle Name
McDonald
Credential
PA-C
Provider Other Last Name
McDonald
Provider Other First Name
Sidney
Provider Other Last Name Type Code
1
Mailing Street Address
800 Washington St
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02111-1552
Mailing Country
US
Mailing Phone
(651) 491-6546
Practice Street Address
800 Washington St
Practice City
Boston
Practice State
MA
Practice ZIP Code
02111-1552
Practice Country
US
Practice Phone
(651) 491-6546
Enumeration Date
July 29, 2015
Last Updated
August 03, 2015
Sex
Female
Sole Proprietor
No
Taxonomies
Physician Assistant (363A00000X)