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1376101162
DANIEL MANDEL
BRIDGEPORT, WV
NPI
1376101162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: RI LP04700)
Enumeration Date
2019-06-05
Last Update Date
2024-07-24
Business Address
Dr. DANIEL MANDEL MD
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1000
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Mailing Address
Dr. DANIEL MANDEL MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number:
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