| Doctor Name: | ROBERT MANDEL |
| NPI Number: | 1124108394 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25MA06725700 |
| Business Practice Address: | 3836 Quakerbridge Rd Suite 103 Hamilton, NJ - 086191006 |
| Business Phone Number: | 6095868888 |
| Business Fax Number: | 6095860888 |
| Mailing Address: | 3836 Quakerbridge Rd, Suite 103 HAMILTON |
| State: | NJ |
| Postal Code: | 086191006 |
| Phone Number: | 6095868888 |
| Fax Number: | 6095860888 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 06/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA06725700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |