Individual
DR. ELISA BETH MANDEL
Active
Individual
DR. ELISA BETH MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD048451L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040729
BLUE SHIELD
PA
01
—
0475493
AETNA HMO
PA
01
—
0660458000
KEYSTONE HEALTHPLAN
PA
01
—
4559874
AETNA PPO
PA
01
—
7761723
CIGNA
PA
01
—
P00075057
RAILROAD MEDICARE
PA
Enumeration date
10/17/2006
Last updated
06/23/2008
Update your record
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