Provider Type Icon

MANDELL & BLAU MD'S PC NPI 1679776835


NPI Information

NPI: 1679776835
Provider Name: MANDELL & BLAU, MD'S PC

Doing Business As: OPEN MRI OF GLASTONBURY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
124 HEBRON AVE STE 1B
GLASTONBURY, CT
ZIP 06033
Phone: (860) 657-2242
Get Directions

MANDELL & BLAU, MD'S PC is a diagnostic radiology radiology in Glastonbury, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MANDELL & BLAU, MD'S PC NPI is 1679776835. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Open Mri Of Glastonbury.

The provider's business location address is:

124 HEBRON AVE STE 1B
GLASTONBURY, CT
ZIP 06033-063
Phone: (860) 657-2242
Fax: (860) 657-2264

The provider's authorized official is Neal Barkoff .
The authorized official title is President and has the following contact phone number (860) 633-8806.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 8/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
115MRI0016CT03OTHERCONNECTICUTANTHEM BC/BS
2A369503OTHERCONNECTICUTOXFORD
32V0862OTHERCONNECTICUTHEALTHNET
4294659OTHERCONNECTICUTWELCARE/PREFERRED ONE
54000931MEDICAIDCONNECTICUT
6780678OTHERCONNECTICUTCONNECTICARE
7CF9509OTHERCONNECTICUTRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.