NPI 1376101162 · live from the CMS NPI Registry
Daniel Mandel, MD
Psychiatry & Neurology, Neurology in Bridgeport, WV. National Provider Identifier 1376101162, active.
NPI record
| NPI | 1376101162 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 327 Medical Park Dr, Bridgeport, WV 26330 |
| Practice phone | 681-342-1000 |
| Mailing address | 593 Eddy St, Providence, RI 02903 |
| Enumerated | June 5, 2019 |
| Last updated | July 24, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | LP04700 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.