Individual
MAZEN ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18780 BAGLEY RD STE 200, CLEVELAND, OH 44130-3304
(440) 816-4546
Mailing address
PO BOX 638269, CINCINNATI, OH 45263-8269
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-079269
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2309826
—
OH
Enumeration date
10/24/2005
Last updated
01/19/2021
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