Susan E Mandel, MD
Individual provider Active NPI Diagnostic Radiology Physician · New Britian, CT
NPI 1184774739 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184774739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 31753 (CT)
- Practice address
- 100 Grand St
New Britian, CT 06050 - Phone
- (860) 224-5556
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31753 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Britain Radiological Assoc.,PC | Diagnostic Radiology | Past | Accepting new patients |
| Vein Centers, LLC | Diagnostic Radiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 31753 | CT | Yes |
Addresses
Primary practice location
100 Grand St
New Britian, CT 06050
Mailing address
PO Box 217
One Liberty Square
New Britain, CT 06050-0217
Phone (860) 827-0071
Other providers in New Britian, CT
- Kenneth Robert Colliton
- Costco Wholesale Corporation
- Gail M Hughes
- Paul G Knecht
- David Anthony Mancini
- Teresa C Works
- Amy Eileen Yazmer
All providers in New Britian, CT · Diagnostic Radiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.