Individual provider · Type 1 NPI

Charisse Laura Mandimika, MD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1881007268 Active

Practice location

15 York St
New Haven, CT 06510-3221

Call (203) 688-5303 Map

Fax (203) 688-3216

Mailing address

1450 Chapel St # PRIVATE3
New Haven, CT 06511-4405

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881007268

Charisse Laura Mandimika, MD's National Provider Identifier is 1881007268, issued on Jun 3, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Jun 6, 2015.