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Individual

DR. DAVID NEAL MANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
214 ENGLE ST, STE 10, ENGLEWOOD, NJ 07631
(201) 567-7557
Mailing address
9 HAMDEN HTS CRT, NEW CITY, NY 10956
(845) 634-1781

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
S131570
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0732422
OXFORD
01
108917
VALUE OPTIONS
01
176915
MHN
Enumeration date
11/24/2006
Last updated
07/08/2007
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