Individual
DELAINE M. MANDELL
Active
Individual
DELAINE M. MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD032654E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011967270001
—
PA
01
—
0098337000
IBC - PC/KHPE
PA
01
—
0119672701
AMERICHOICE (UHC MA PLAN)
PA
01
—
08722-MD032654E
HEALTH PARTNERS
PA
01
—
1079948
KEYSTONE MERCY
PA
01
—
300040389
RRM
PA
01
—
350763
PHCS
PA
01
—
410397
HIGHMARK BLUE SHIELD
PA
01
—
7219219
CIGNA HMO/PPO
PA
Enumeration date
05/12/2006
Last updated
09/02/2015
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