Organization
GRADUATE VASCULAR AND ENDOVASCULAR ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK P MANTELL MD (OWNER)
(215) 893-2996
Entity
Organization
Contact information
Practice address
51 N 39TH ST, SUITE 2B, PHILADELPHIA, PA 19104-2640
(215) 893-2996
Mailing address
51 N 39TH ST, SUITE 2B, PHILADELPHIA, PA 19104-2640
(215) 893-2996
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
07/29/2010
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