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

Mr. Michael Anthony Mandella, MALIC99

Individual provider Specialist · NPI 1285272559

Mr. Michael Anthony Mandella, MALIC99 is a Specialist in Lunenburg, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019

Practice location Address checks out

615 Reservoir Rd
Lunenburg, MA 01462-1540
Phone: (978) 771-7582
Fax: (978) 582-8264
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA99 (MA)

Record details

NPI number1285272559
Entity typeIndividual (Type 1)
GenderMale
Credentials MALIC99
Sole proprietorYes
NPI enumeratedDecember 17, 2019
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019