Individual
DR. PERRY NICHOLAS MANDANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
189 N BIGELOW RD, HAMPTON, CT 06247-1408
(860) 455-1119
Mailing address
189 N BIGELOW RD, HAMPTON, CT 06247-1408
(860) 455-1119
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
042739
CT
Other
Enumeration date
04/19/2007
Last updated
11/14/2012
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