Individual
DAVID E MANDELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 PARK ST, NEW HAVEN, CT 06504-8901
(203) 785-4081
(203) 737-7635
Mailing address
237 IRVING AVE, PROVIDENCE, RI 02906-5518
(401) 595-3467
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
151239
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
151239
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
64335
CT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
70147
MN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD11065
RI
2084N0600X
Clinical Neurophysiology Physician
151239
NY
2084N0600X
Clinical Neurophysiology Physician
MD11065
RI
2084P0005X
Neurodevelopmental Disabilities Physician
MD11065
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669408696
—
RI
Enumeration date
06/23/2006
Last updated
03/11/2023
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