Mandelberg, Charles

Mandelberg, Charles is an individual health care provider with primary practice located at 28 Main St , East Hartford CT 06118-3243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mandelberg, Charles can be contacted via phone (860) 568-7212.

Contact Information

Primary practice address
28 Main St East Hartford CT 06118-3243
Phone: (860) 568-7212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 025804 Connecticut

Profile Details

NPI number 1316919988
LBN Legal business name Mandelberg, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 11th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316919988 NPPES
Connecticut MEDICAID 001258045

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