Individual
DR. MARC STEVEN MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 OVERLOOK RD, SUITE 160, SUMMIT, NJ 07901-3577
(908) 598-0966
(908) 598-0298
Mailing address
11 OVERLOOK RD, SUITE 160, SUMMIT, NJ 07901-3577
(908) 598-0966
(908) 598-0298
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA48956
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA04895600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549108
—
NJ
Enumeration date
05/01/2006
Last updated
07/22/2025
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