Mandelbaum, David E
Mandelbaum, David E is an individual health care provider with primary practice located at 1 Park St , New Haven CT 06504-8901. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Mandelbaum, David E can be contacted via phone (203) 785-4081.Contact Information
Primary practice address
1 Park St
New Haven CT 06504-8901
Phone: (203) 785-4081
Fax: (203) 737-7635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 151239 | New York |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 151239 | New York |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD11065 | Rhode Island |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | MD11065 | Rhode Island |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 64335 | Connecticut |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 151239 | New York |
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2084P0005X | MD11065 | Rhode Island |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 70147 | Minnesota |
Profile Details
| NPI number | 1669408696 |
|---|---|
| LBN Legal business name | Mandelbaum, David E |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Mar 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669408696 | NPPES |
| Rhode Island | MEDICAID | 1669408696 |
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