Individual
ADAM MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2997
(978) 683-4000
Mailing address
PO BOX 602645, CHARLOTTE, NC 28260-2645
(843) 789-1620
(843) 724-2454
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
153440
MA
207P00000X
Emergency Medicine Physician
912
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009127
—
SC
Enumeration date
07/19/2005
Last updated
05/10/2023
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