| Alex Mandel, M.d. | |
|
400 Massasoit Ave Suite 300 East Providence RI 02914-2012 | |
| (401) 434-8226 | |
| (401) 434-4178 |
| Full Name | Alex Mandel, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Massasoit Ave, East Providence, Rhode Island |
| Authorized Official Name and Position | Alex Mandel (OWNER) |
| Authorized Official Contact | 4014348226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Mandel, M.d. 400 Massasoit Ave Suite 300 East Providence RI 02914-2012 Ph: (401) 434-8226 | Alex Mandel, M.d. 400 Massasoit Ave Suite 300 East Providence RI 02914-2012 Ph: (401) 434-8226 |
| NPI Number | 1043425267 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 02/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043425267 | NPI | - | NPPES |
| 001401 | Other | RI | BLUE CHIP |
| 7005442 | Medicaid | RI | |
| M16447 | Other | MA | BLUE SHIELD OF MA |
| B10041001 | Other | CIGNA | |
| C22019 | Other | MA | BLUE SHIELD OF MA |
| 977-3 | Other | RI | BLUE SHIELD OF RI |
| 5393 | Other | RI | LIFESPAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD05393 (Rhode Island) | Primary |
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