Individual
DR. GEORGE ELIAS MANDALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 RETREAT AV, SUITE 612, HARTFORD, CT 06106
(860) 997-8410
(860) 432-5660
Mailing address
19 SAGE DRIVE, MANCHESTER, CT 06042
(860) 643-8312
(860) 432-5660
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17290
CT
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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