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Contact Information

MARK S MANDEL, MD
135 CHESTNUT RIDGE RD
SUITE 1120
MONTVALE, NJ07645
 Phone: 201-391-2020
 Fax: 201-391-0265
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK S MANDEL · (Male)

NPI # 1194764498
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2006
Last updated 05/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA05315700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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