Individual
DR. JEFFREY S MANDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-2871
(717) 485-2830
Mailing address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-2871
(717) 485-6133
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD050576L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001473101
—
PA
Enumeration date
08/02/2005
Last updated
08/04/2021
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