Individual
DR. JOHN MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6525 POWERS BLVD # 301, PARMA, OH 44129-5461
(440) 882-0075
Mailing address
6525 POWERS BLVD # 301, PARMA, OH 44129-5461
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35-093298
OH
207RI0011X
Interventional Cardiology Physician
Primary
35-093298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2955806
—
OH
Enumeration date
05/22/2007
Last updated
11/20/2014
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