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Individual

DR. ALEXSANDRA M MAMONIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35070377
OH
207R00000X
Internal Medicine Physician
Primary
35070377
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0469550
OH
Enumeration date
04/07/2006
Last updated
12/05/2025
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