Individual
MAZEN MANSOUR
Active
Individual
MAZEN MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
317961
NY
208800000X
Urology Physician
35.151055
OH
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
35.151055
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2022
Last updated
08/03/2026
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