Individual
DR. STEPHEN LODOVICO MANDARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G50320
CA
208D00000X
General Practice Physician
G50320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7664031
—
CA
Enumeration date
01/18/2010
Last updated
01/18/2010
Update your record
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