MIRIUM MAMMEN, DO

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1093563470

Practice Address

10800 KNIGHTS RD
Philadelphia, PA 19114

Phone: (215) 612-5161

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes OT023449 (PA)

Frequently Asked Questions

NPI 1093563470 is the National Provider Identifier for MIRIUM MAMMEN, DO, a Student in an Organized Health Care Education/Training Program provider located in Philadelphia, PA. This NPI was enumerated on May 9, 2024.
MIRIUM MAMMEN, DO practices at 10800 KNIGHTS RD, Philadelphia, PA 19114.

Quick Facts

NPI
1093563470
Type
Individual
Enumerated
May 9, 2024
Last Updated
May 9, 2024

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