Active NPIIndividual provider

David E Mandelbaum, MD, PHD

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in New Haven, Connecticut

NPI Number1669408696
Practice location
1 Park St, New Haven, CT 06504-8901
Fax
203-737-7635
Last updated
March 11, 2023

David E Mandelbaum is a Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology based in New Haven, CT. David E Mandelbaum practices in New Haven, CT and has the professional credentials of MD, PHD. The NPI Number for David E Mandelbaum is 1669408696 and holds a License No. 151239 (NY). The current practice location address for David E Mandelbaum is 1 Park St, New Haven, CT 06504-8901 and can be reached out via phone at 203-785-4081 and via fax at 203-737-7635.

Provider Profile Details

NPI Number
1669408696
Provider Name
David E Mandelbaum
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Male
Address
1 Park St, New Haven, CT 06504-8901
Phone Number
203-785-4081
Fax Number
203-737-7635
Sole Proprietor
No
Provider Enumeration Date
June 23, 2006
Last Update Date
March 11, 2023
Certification Date
March 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Park St
New Haven, CT 06504-8901
Zip
06504-8901
Phone Number
203-785-4081
Fax Number
203-737-7635
New Haven, CT 06504Get directions →

Provider Business Mailing Address Details

Address
237 Irving Ave
Providence, RI 02906-5518
City
Providence
State
RI
Zip
02906-5518
Phone Number
401-595-3467

License Information

License Number (1)
151239
License State (1)
NY
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
151239
License State (2)
NY
License Number (3)
MD11065
License State (3)
RI
License Number (4)
MD11065
License State (4)
RI
Taxonomy (4)
· 2084N0600X
License Number (5)
64335
License State (5)
CT
License Number (6)
151239
License State (6)
NY
Taxonomy (6)
· 2084N0600X
License Number (7)
MD11065
License State (7)
RI
License Number (8)
70147
License State (8)
MN

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of David E Mandelbaum, MD, PHD?

The NPI number of David E Mandelbaum, MD, PHD is 1669408696. It was assigned on June 23, 2006 and is currently active in the NPPES registry.

What is the specialty of David E Mandelbaum, MD, PHD?

David E Mandelbaum, MD, PHD is registered under the primary taxonomy Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (code 2084N0402X), licensed in NY under license number 151239.

Where does David E Mandelbaum, MD, PHD practice?

The practice location is 1 Park St, New Haven, CT 06504-8901. The office can be reached at 203-785-4081 (phone) or 203-737-7635 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669408696 directly on the NPPES registry website.

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