Organization
DR. CHARLES MANDEL O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES I MANDEL OD (PRESIDENT)
(413) 442-6991
Entity
Organization
Contact information
Practice address
37 CHESHIRE RD, ALLENDALE SHOPPING CENTER, PITTSFIELD, MA 01201-1831
(413) 442-6991
(413) 443-4205
Mailing address
37 CHESHIRE RD, ALLENDALE SHOPPING CENTER, PITTSFIELD, MA 01201-1831
(413) 442-6991
(413) 443-4205
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA2430
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0332208
—
MA
01
—
14122
HNE
MA
01
—
W15568
BCBS
—
Enumeration date
11/20/2007
Last updated
11/20/2007
Update your record
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