Provider Demographics
NPI:1508873316
Name:MANSFIELD-SMYSER, LINDA M (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:MANSFIELD-SMYSER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 E PENN SQ
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9232
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:1200 OLD YORK RD FL 1
Practice Address - Street 2:CHOP CARE NETWORK AT ABINGTON MEMORIAL HOSPITAL
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3720
Practice Address - Country:US
Practice Address - Phone:215-481-4320
Practice Address - Fax:215-481-8975
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2020-05-21
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Provider Licenses
StateLicense IDTaxonomies
PAMD038876E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001242712Medicaid
NJ5457505Medicaid
PA671792Medicare ID - Type Unspecified
NJ5457505Medicaid