Bruce Mandelbaum
Acupuncturist in Southport, Connecticut
1730443045- Practice location
- 3519 Post RD, Southport, CT 06890-1180
- Phone
- 203-254-2633
- Fax
- —
- Last updated
- July 2, 2012
Bruce Mandelbaum is an Acupuncturist based in Southport, CT. Bruce Mandelbaum practices in Southport, CT. The NPI Number for Bruce Mandelbaum is 1730443045 and holds a License No. 000122 (CT). The current practice location address for Bruce Mandelbaum is 3519 Post RD, Southport, CT 06890-1180 and can be reached out via phone at 203-254-2633.
Provider Profile Details
- NPI Number
- 1730443045
- Provider Name
- Bruce Mandelbaum
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3519 Post RD, Southport, CT 06890-1180
- Phone Number
- 203-254-2633
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 2, 2012
- Last Update Date
- July 2, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3519 Post RD
Southport, CT 06890-1180 - City
- Southport
- State
- Connecticut
- Zip
- 06890-1180
- Phone Number
- 203-254-2633
Provider Business Mailing Address Details
- Address
- 3519 Post RD
Southport, CT 06890-1180 - City
- Southport
- State
- CT
- Zip
- 06890-1180
- Phone Number
- 203-254-2633
License Information
- License Number (1)
- 000122
- License State (1)
- CT
- Taxonomy (1)
- Acupuncturist · 171100000X · Primary
- Taxonomy (2)
- Massage Therapist · 225700000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Delaina Merkert, DNP, APRN, FNP-BCNurse Practitioner, Family · NPI 1942934245
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Frequently Asked Questions
What is the NPI number of Bruce Mandelbaum?
The NPI number of Bruce Mandelbaum is 1730443045. It was assigned on July 2, 2012 and is currently active in the NPPES registry.
What is the specialty of Bruce Mandelbaum?
Bruce Mandelbaum is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in CT under license number 000122.
Where does Bruce Mandelbaum practice?
The practice location is 3519 Post RD, Southport, CT 06890-1180. The office can be reached at 203-254-2633 (phone).
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 1730443045 directly on the NPPES registry website.