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NPI Code Detail

MEDICARE: ALLAN E MENDELL M.D.

MEDICARE: ALLAN E MENDELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician77029MA

General Provider Information

NPI Number : 1598704025
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAN E MENDELL M.D.
Provider Business Mailing Address
First Line : 46 NEWFANE RD
Second Line :
City : BEDFORD
State : NH
Zip : 03110-4844
Country : US
Telephone Number : 603-883-0005
Fax Number :
Provider Business Practice Location Address
First Line : 1 MAIN ST
Second Line :
City : NASHUA
State : NH
Zip : 03064-2716
Country : US
Telephone Number : 603-883-0005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 10/19/2015

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