Provider Demographics
NPI:1154304988
Name:MENDLOWITZ, ABBE DOV (MD)
Entity Type:Individual
Prefix:DR
First Name:ABBE
Middle Name:DOV
Last Name:MENDLOWITZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1413 GOLDEN GATE BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-3420
Mailing Address - Country:US
Mailing Address - Phone:440-605-1561
Mailing Address - Fax:440-605-1345
Practice Address - Street 1:1413 GOLDEN GATE BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-3420
Practice Address - Country:US
Practice Address - Phone:440-605-1561
Practice Address - Fax:440-605-1345
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2016-05-11
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Provider Licenses
StateLicense IDTaxonomies
OH35-0857062085R0202X
MDD00339272085R0202X
VA1010397322085R0202X
PAMD4207402085R0202X
AZ302352085R0202X
NJ25MA078759002085R0202X
IL036-1124682085R0202X
DCMD159882085R0202X
MI43010847822085R0202X
CT0429492085R0202X
IA359792085R0202X
FLME634452085R0202X
TNMD00000399882085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC88431Medicare UPIN