Individual
DR. LEONID MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 MADISON AVE, SUITE 10-A, MORRISTOWN, NJ 07960-6092
(973) 889-9001
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 656-6280
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA09113000
NJ
207RI0011X
Interventional Cardiology Physician
25MA09113000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01168388
RRMC
NJ
Enumeration date
07/12/2006
Last updated
02/03/2016
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