| Alexsandra M Mamonis, Md, Inc | |
|
1700 Boettler Rd Suite 125 Uniontown OH 44685 | |
| (330) 896-9099 | |
| (330) 896-9199 |
| Full Name | Alexsandra M Mamonis, Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 Boettler Rd, Uniontown, Ohio |
| Authorized Official Name and Position | Alexsandra M Mamonis (PRESIDENT MD) |
| Authorized Official Contact | 3308969099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexsandra M Mamonis, Md, Inc 1700 Boettler Rd Suite 125 Uniontown OH 44685 Ph: (330) 896-9099 | Alexsandra M Mamonis, Md, Inc 1700 Boettler Rd Suite 125 Uniontown OH 44685 Ph: (330) 896-9099 |
| NPI Number | 1275651622 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 10/13/2014 |
| Medicare PECOS PAC ID | 6103912548 |
|---|---|
| Medicare Enrollment ID | O20071017000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275651622 | NPI | - | NPPES |
| 000000168517 | Other | OH | ANTHEM BC/BS |
| 2762050 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35070377 (Ohio) | Primary |
| Provider Name | Milania Maria Valore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962441451 PECOS PAC ID: 3779586623 Enrollment ID: I20060814000339 |
| Provider Name | Alexsandra Mamonis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447213889 PECOS PAC ID: 2466548805 Enrollment ID: I20071017000561 |
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