Organization
ALEX MANDEL, M.D.
Active
Organization
ALEX MANDEL, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX MANDEL MD (OWNER)
(401) 434-8226
Entity
Organization
Contact information
Practice address
400 MASSASOIT AVE, SUITE 300, EAST PROVIDENCE, RI 02914-2012
(401) 434-8226
(401) 434-4178
Mailing address
400 MASSASOIT AVE, SUITE 300, EAST PROVIDENCE, RI 02914-2012
(401) 434-8226
(401) 434-4178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD05393
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001401
BLUE CHIP
RI
01
—
5393
LIFESPAN
RI
05
—
7005442
—
RI
01
—
977-3
BLUE SHIELD OF RI
RI
01
—
B10041001
CIGNA
—
01
—
C22019
BLUE SHIELD OF MA
MA
01
—
M16447
BLUE SHIELD OF MA
MA
Enumeration date
05/11/2007
Last updated
02/09/2016
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