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Organization

ALEXSANDRA M MAMONIS M D INC

Active
Other names
Alexsandra M Mamonis, MD, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXSANDRA M MAMONIS MD (PRESIDENT MD)
(330) 896-9099
Entity
Organization

Contact information

Practice address
1700 BOETTLER RD, SUITE 125, UNIONTOWN, OH 44685
(330) 896-9099
(330) 896-9199
Mailing address
1700 BOETTLER RD STE 125, SUITE 125, UNIONTOWN, OH 44685-6207
(330) 896-9099
(330) 896-9199

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000168517
ANTHEM BC/BS
OH
05
2762050
OH
Enumeration date
03/26/2007
Last updated
12/05/2025
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