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Individual

MRS. IRINA MANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
340C RAMAPO VALLEY RD, OAKLAND, NJ 07436-2711
(973) 962-6200
(973) 962-0046
Mailing address
340C RAMAPO VALLEY RD, OAKLAND, NJ 07436-2711
(973) 962-6200
(973) 962-0046

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00419100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7726805
NJ
Enumeration date
04/17/2013
Last updated
03/14/2023
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