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MANDELL & BLAU MD'S PC NPI 1811007545


NPI Information

NPI: 1811007545
Provider Name: MANDELL & BLAU, MD'S PC

Doing Business As: WOMEN'S IMAGING OF BUCKLAND HILLS

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
491 BUCKLAND RD
SUITE 3
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 648-4674
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MANDELL & BLAU, MD'S PC is a diagnostic radiology radiology in South Windsor, 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 1811007545. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Women's Imaging Of Buckland Hills.

The provider's business location address is:

491 BUCKLAND RD
SUITE 3
SOUTH WINDSOR, CT
ZIP 06074-732
Phone: (860) 648-4674
Fax: (860) 648-2043

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 8/30/2006 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
1OR1822OTHERCONNECTICUTHEALTHNET
24000931MEDICAIDCONNECTICUT
3109729OTHERCONNECTICUTWELLCARE/PREFERRED ONE
4CC8344OTHERCONNECTICUTRAILROAD MEDICARE
5206085OTHERCONNECTICUTCONNECTICARE

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.