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Individual

DR. MANSOUR S ISCKARUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1761 BEALL AVE STE 1, WOOSTER, OH 44691-2342
(330) 262-2800
Mailing address
1761 BEALL AVE STE 1, WOOSTER, OH 44691-2342
(330) 262-2800
(330) 262-2807

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35094671
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3004779
OH
01
H283592
MEDICARE PIN
OH
Enumeration date
07/13/2005
Last updated
11/23/2020
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