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DR. CHARLES MANDEL O.D. P.C. NPI 1275714149


NPI Information

NPI: 1275714149
Provider Name: DR. CHARLES MANDEL O.D., P.C.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
37 CHESHIRE RD
ALLENDALE SHOPPING CENTER
PITTSFIELD, MA
ZIP 01201
Phone: (413) 442-6991
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DR. CHARLES MANDEL O.D., P.C. is a health service clinic center in Pittsfield, MA. DR. CHARLES MANDEL O.D., P.C. NPI is 1275714149. The provider is registered as an organization entity type.

The provider's business location address is:

37 CHESHIRE RD
ALLENDALE SHOPPING CENTER
PITTSFIELD, MA
ZIP 01201-831
Phone: (413) 442-6991
Fax: (413) 443-4205

The provider's authorized official is Charles I Mandel .
The authorized official title is President and has the following contact phone number (413) 442-6991.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 11/20/2007.


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
1261QH0100XClinic/CenterHealth ServiceMA2430MASSACHUSETTSYes

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
1T59237MEDICARE UPINMASSACHUSETTS
20332208MEDICAIDMASSACHUSETTS
30428810001MEDICARE NSCMASSACHUSETTS
4161058MEDICARE PINMASSACHUSETTS
514122OTHERMASSACHUSETTSHNE
6W15568OTHERBCBS

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

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