Individual
DR. MARSHAL MANDELKERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BRADLEY RD STE 403, WOODBRIDGE, CT 06525-2235
(203) 387-1102
(203) 387-1308
Mailing address
1 BRADLEY RD STE 403, WOODBRIDGE, CT 06525-2235
(203) 387-1102
(203) 387-1308
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26113
CT
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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