Organization
MARTIN L MANDEL M. D.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN L MANDEL M.D. (PHYSICIAN)
(440) 951-1073
Entity
Organization
Contact information
Practice address
36100 EUCLID AVE, SUITE 320, WILLOUGHBY, OH 44094-4456
(440) 951-1073
(440) 951-1844
Mailing address
36100 EUCLID AVE, SUITE 320, WILLOUGHBY, OH 44094-4456
(440) 951-1073
(440) 951-1844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35034980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129519
ANTHEM
OH
05
—
0332689
—
OH
Enumeration date
03/14/2007
Last updated
10/15/2014
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