Organization
RAUL N MANDLER, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL N MANDLER MD (SOLE OWNER)
(202) 550-6601
Entity
Organization
Contact information
Practice address
6000 EXECUTIVE BLVD, NORTH BETHESDA, MD 20852-3803
(202) 550-6601
Mailing address
PO BOX 298, CABIN JOHN, MD 20818-0298
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0055311
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14957
DISTRICT OF COLUMBIA MEDICAL LICENSE
DC
Enumeration date
11/02/2008
Last updated
10/05/2010
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