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Individual

DELAINE M. MANDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-0743
(484) 622-0643
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2352
(610) 270-2358

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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