Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sidney McDonald Mangrum, PA-C

Individual provider Physician Assistant · NPI 1982089033

Sidney McDonald Mangrum, PA-C is a Physician Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.

Licensed in
MA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

800 Washington St
Boston, MA 02111-1552
Phone: (651) 491-6546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA5468 (MA)

Record details

NPI number1982089033
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2015
Last updated in NPPESAugust 3, 2015

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