Individual
DR. NICHOLAS J MANDALAKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1113 S STATE ST STE 100, DOVER, DE 19901-4112
(302) 734-7676
(302) 734-7615
Mailing address
1113 S STATE ST STE 100, DOVER, DE 19901-4112
(302) 734-7676
(302) 734-7615
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
C1-0024586
DE
207RC0000X
Cardiovascular Disease Physician
MD037192E
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
C1-0024586
DE
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD037192E
PA
Other
Enumeration date
10/31/2005
Last updated
03/03/2022
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