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Organization

MANDEL DERMATOLOGY BOULDER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL JAY MANDEL MD (MANAGING MEMBER)
(720) 741-8051
Entity
Organization

Contact information

Practice address
2575 SPRUCE ST UNIT C, BOULDER, CO 80302-3806
(720) 741-8051
(720) 741-8720
Mailing address
45 NORTHERN BLVD, GREENVALE, NY 11548-1346
(516) 506-7546
(720) 306-7224

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
04/08/2022
Last updated
04/16/2026
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