Doctor Name: | DR. JEFFREY S MANDAK |
NPI Number: | 1386645232 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD050576L |
Business Practice Address: | 214 Peach Orchard Rd Mc Connellsburg, PA - 172338559 |
Business Phone Number: | 7174852871 |
Business Fax Number: | 7174852830 |
Mailing Address: | 214 Peach Orchard Rd, MC CONNELLSBURG |
State: | PA |
Postal Code: | 172338559 |
Phone Number: | 7174852871 |
Fax Number: | 7174856133 |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | MD050576L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |