Individual provider · Type 1 NPI

Mark Mantell, MD

Vascular Surgery Physician · Philadelphia, PA

NPI number 1104984046 Active

Practice location

51 N. 39th Street, Heart & Vascular Pavilion 4th Floor
Philadelphia, PA 19104-2640

Fax (215) 243-3225

Mailing address

PO Box 416147
Boston, MA 02241-6147

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XMD047966L (PA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1104984046

Mark Mantell, MD's National Provider Identifier is 1104984046, issued on Dec 4, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 13, 2025.