Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JAMES MANDARINO JR., M.D.
Active Sole ProprietorDR. MICHAEL JAMES MANDARINO JR., M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in BALA CYNWYD, Pennsylvania. NPI 1780622639 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · BALA CYNWYD, PA
Registration Details
- NPI Number
- 1780622639
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2006 (20.242586966057 yrs)
- Last Updated
- Mar 2, 2026
- License
-
MD014300E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 MONUMENT RD STE 207BALA CYNWYD, PA, 190041725Browse PA providers · Browse ZIP 19004
- Phone
- 2158781212
- Fax
- 6109899813
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.