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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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