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General NPI Number Information
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NPI Number | 1780887950
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Entity Type | Organization
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Legal Business Name | MANDELL & BLAU, MD'S PC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 140 MAIN ST METRO SQUARE
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3437
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Country | US
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Telephone | 860-346-7400
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Fax | 860-346-7900
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Provider Business Mailing Address
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Address Line | PO BOX 230
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City | GLASTONBURY
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State | CT
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Zip | 06033-0230
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Country | US
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Telephone | 860-346-7400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEAL BARKOFF
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Credential | MD
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Telephone | 860-346-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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