MANDELL & BLAU MD'S PC NPI 1376746537

NPI Information

NPI: 1376746537
Provider Name: MANDELL & BLAU, MD'S PC

Doing Business As: OPEN MRI OF ENFIELD

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
137 HAZARD AVE
SUITE #2
ENFIELD, CT
ZIP 06082
Phone: (860) 745-2288
Get Directions

MANDELL & BLAU, MD'S PC is a diagnostic radiology radiology in Enfield, 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 1376746537. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Open Mri Of Enfield.

The provider's business location address is:

137 HAZARD AVE
SUITE #2
ENFIELD, CT
ZIP 06082-425
Phone: (860) 745-2288
Fax: (860) 745-3388

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	15MRI0016CT04	OTHER	CONNECTICUT	ANTHEM BC/BS
2	2V0862	OTHER	CONNECTICUT	HEALTHNET
3	757857	OTHER	CONNECTICUT	CONNECTICARE
4	A369503	OTHER	CONNECTICUT	OXFORD
5	4000931	MEDICAID	CONNECTICUT
6	423285	OTHER	CONNECTICUT	WELLCARE/PREFERRED ONE

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: 5/5/2024

NPI Synchronization or Removal

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