Organization
MANDELL & BLAU, MD'S PC
Active
Other names
Open MRI of Glastonbury
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL BARKOFF M.D. (PRESIDENT)
(860) 633-8806
Entity
Organization
Contact information
Practice address
124 HEBRON AVE STE 1B, GLASTONBURY, CT 06033-2063
(860) 657-2242
(860) 657-2264
Mailing address
PO BOX 230, GLASTONBURY, CT 06033-0230
(860) 633-8806
(860) 657-3788
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15MRI0016CT03
ANTHEM BC/BS
CT
01
—
294659
WELCARE/PREFERRED ONE
CT
01
—
2V0862
HEALTHNET
CT
05
—
4000931
—
CT
01
—
780678
CONNECTICARE
CT
01
—
A369503
OXFORD
CT
01
—
CF9509
RAILROAD MEDICARE
CT
Enumeration date
06/06/2007
Last updated
08/15/2019
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