Individual
DR. DANIEL MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
LP04700
RI
Other
Enumeration date
06/05/2019
Last updated
07/24/2024
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