Individual
DAVID J MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 957-9700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35069486M
OH
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
35069486
OH
208000000X
Pediatrics Physician
35069486M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069484
—
OH
Enumeration date
09/17/2006
Last updated
12/27/2021
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