{
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"FirstLineMailingAddress": "829 SPRUCE ST",
"SecondLineMailingAddress": "SUITE 105",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-829-3530",
"MailingAddressFaxNumber": "215-829-3090",
"FirstLinePracticeLocationAddress": "829 SPRUCE ST",
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"PracticeLocationAddressFaxNumber": "215-829-3090",
"EnumerationDate": "05/30/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MANDAL",
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"Taxonomies": {
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"TaxonomyName": "Cardiovascular Disease Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}