Individual
DANIEL T. MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1955
(508) 334-9762
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
255706
MA
207X00000X
Orthopaedic Surgery Physician
Primary
273719
MA
Other
Enumeration date
06/05/2013
Last updated
10/28/2020
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