Individual
JONATHAN D MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ANDOVER SURGICAL ASSOC, 140 HAVERHILL STREET, ANDOVER, MA 01810-3402
(978) 475-4202
Mailing address
140 HAVERHILL ST, ANDOVER, MA 01810-1550
(978) 475-4202
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
79849
MA
Other
Enumeration date
07/10/2006
Last updated
07/19/2011
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