Individual
ELIZABETH A. MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL OB/GYN DEPT, HARTFORD, CT 06102-5037
(860) 545-2780
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000226
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004223418
—
CT
05
—
PENDING
—
CT
Enumeration date
04/10/2006
Last updated
10/16/2009
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