IndividualActive
Michael Mandarino, M.D.
NPI 1780622639 · Sports Medicine (Orthopaedic Surgery) Physician · Bala Cynwyd, PA
Provider details
- NPI number
- 1780622639
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD014300E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Phone: (215) 878-1212
Fax: (610) 989-9813
Approximate (ZIP-level) locationGet directions
Mailing address
420 Sugartown Rd
Devon, PA 19333-1718
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.