Individual
JONATHAN EDWARD MANDABACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4175 S ALAMO AVE BLDG 400, TUCSON, AZ 85707
(520) 228-2700
Mailing address
1319 PUNAHOU ST, HONOLULU, HI 96826-1001
(808) 369-1265
(808) 369-1212
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-19773
HI
Other
Enumeration date
05/19/2015
Last updated
01/03/2019
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