Doctor Name: | DR. MAZEN A. MAHJOUB |
NPI Number: | 1679512081 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35-07-2671M |
Business Practice Address: | 9375 E Market St Suite #3 Warren, OH - 444845515 |
Business Phone Number: | 3303920100 |
Business Fax Number: | |
Mailing Address: | 9375 E Market St, Suite #3 WARREN |
State: | OH |
Postal Code: | 444845515 |
Phone Number: | 3303920100 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35-07-2671M |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |