Organization
DR THOMAS E MANDAT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMINE LESCALLETT (OFFICE MANAGER)
(440) 235-8484
Entity
Organization
Contact information
Practice address
5592 BROADVIEW RD STE 103, CLEVELAND, OH 44134
(216) 741-5200
(216) 741-5201
Mailing address
4758 RIDGE RD STE 161, CLEVELAND, OH 44144-3327
(440) 235-8484
(440) 235-8484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35055707
OH
Other
Enumeration date
05/09/2018
Last updated
05/22/2018
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