David Mandelbaum

Medical doctor

Providence, United States

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Full name

David Mandelbaum

Job Title

Medical Doctor

Location

Providence, RI, USA

LIC ID

144510

Current License Expiration Date

31/01/2024

Original Date

14/08/2019

Professional Rank Code

Effective Date

14/08/2019

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

Out of State

Practice Location Address Line 1

237 Irving Avenue

Practice Location Address City

PROVIDENCE

Practice Location Address State

Practice Location Address Zipcode

02906

Mode Code

Dispensing Practitioner

Prescribing Indicator

Dispensing Indicator

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