Mandell, Michael Jay

Mandell, Michael Jay is an individual health care provider with primary practice located at 4518 Union Deposit Rd , Harrisburg PA 17111-2921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mandell, Michael Jay can be contacted via phone (717) 652-5840.

Contact Information

Primary practice address
4518 Union Deposit Rd Harrisburg PA 17111-2921
Phone: (717) 652-5840
Fax: (717) 652-8152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD039676L Pennsylvania

Profile Details

NPI number 1982697405
LBN Legal business name Mandell, Michael Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jan 25th, 2008 - about 17 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982697405 NPPES
Pennsylvania MEDICAID 0011346170020
Pennsylvania MEDICAID 0011346170021
Pennsylvania MEDICAID 0011346170016
Pennsylvania MEDICAID 0011346170001

Popular Providers