Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael James Mandarino Jr., MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1780622639

Dr. Michael James Mandarino Jr., MD is a Sports Medicine (Orthopaedic Surgery) Physician in Bala Cynwyd, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Phone: (215) 878-1212
Fax: (610) 989-9813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence MD014300E (PA)

Record details

NPI number1780622639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 3, 2006
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

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