Doctor Name: | SUSAN E MANDEL |
NPI Number: | 1184774739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 31753 |
Business Practice Address: | 100 Grand St New Britian, CT - 06050 |
Business Phone Number: | 8602245556 |
Business Fax Number: | |
Mailing Address: | Po Box 217, One Liberty Square NEW BRITAIN |
State: | CT |
Postal Code: | 060500217 |
Phone Number: | 8608270071 |
Fax Number: | 8602295642 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 31753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |