Individual
DR. MANDRILL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54097
CT
2084P0802X
Addiction Psychiatry Physician
54097
CT
Other
Enumeration date
03/19/2011
Last updated
05/22/2015
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