Individual
DR. TODD WIZANSKY MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
164 HIGH ST, GREENFIELD, MA 01301-2613
(413) 773-2595
Mailing address
1103 PACKER CORNERS RD, GUILFORD, VT 05301-8229
(802) 251-0089
(802) 251-6070
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
042-0007964
VT
2084P0802X
Addiction Psychiatry Physician
Primary
57048
MA
Other
Enumeration date
03/16/2007
Last updated
07/27/2007
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