Provider Demographics
NPI:1548279680
Name:STRANIX, MANDI FRANCIS (DPM)
Entity type:Individual
Prefix:
First Name:MANDI
Middle Name:FRANCIS
Last Name:STRANIX
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 WHITE HORSE ROAD
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2601
Mailing Address - Country:US
Mailing Address - Phone:856-435-4000
Mailing Address - Fax:856-435-6866
Practice Address - Street 1:117 WHITE HORSE ROAD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2601
Practice Address - Country:US
Practice Address - Phone:856-435-4000
Practice Address - Fax:856-435-6866
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00288600213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist