Organization
MANDELL & BLAU, MD'S PC
Active
Other names
Open MRI at Buckland Hills
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL BARKOFF M.D. (PRESIDENT)
(860) 633-8806
Entity
Organization
Contact information
Practice address
491 BUCKLAND RD, SUITE #3, SOUTH WINDSOR, CT 06074-3732
(860) 648-4674
(860) 648-2043
Mailing address
PO BOX 230, GLASTONBURY, CT 06033-0230
(860) 657-2242
(860) 657-2264
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151700
WELLCARE/PREFERRED ONE
CT
01
—
15MRI0016CT01
ANTHEM BC/BS
CT
01
—
2V0862
HEALTHNET
CT
01
—
306085
CONNECTICARE
CT
05
—
4000931
—
CT
01
—
A369503
OXFORD
CT
01
—
CF9509
RAILROAD MEDICARE
CT
Enumeration date
10/13/2006
Last updated
08/15/2019
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