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Individual

DR. MARK H MANDELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
72 HIGHLAND AVE, PEDIATRIC ASSOCIATES OF GREATER SALEM, SALEM, MA 01970
(978) 745-3050
(978) 744-9594
Mailing address
72 HIGHLAND AVE, PEDIATRIC ASSOCIATES OF GREATER SALEM, SALEM, MA 01970
(978) 745-3050
(978) 744-9594

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50826
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050827
TUFTS
05
2091321
MA
01
J02433
BCBS
Enumeration date
02/02/2006
Last updated
07/08/2007
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