Individual
MORTON S MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5401 OLD YORK RD, KLEIN BUILDING, SUITE 401, PHILADELPHIA, PA 19141-3046
(215) 329-0633
(215) 329-6678
Mailing address
5401 OLD YORK RD, KLEIN BUILDING, SUITE 401, PHILADELPHIA, PA 19141-3046
(215) 329-0633
(215) 329-6678
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD027327L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006543720003
—
PA
Enumeration date
11/18/2005
Last updated
06/02/2009
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