Individual
RAUL MENDELOVICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 COTTAGE GROVE RD, SUITE 205, BLOOMFIELD, CT 06002-3088
(860) 286-2996
(860) 286-0862
Mailing address
1000 ASYLUM AVE, SUITE 4309 A, HARTFORD, CT 06105-1770
(860) 714-6581
(860) 714-8311
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32289
CT
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
32289
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001322891
—
CT
Enumeration date
07/13/2005
Last updated
05/11/2023
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