Mammen, Priya Elizabeth

Mammen, Priya Elizabeth is an individual health care provider with primary practice located at 1020 Sansom St Suite 239, Philadelphia PA 19107-5002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Mammen, Priya Elizabeth can be contacted via phone (215) 955-6844.

Contact Information

Primary practice address
1020 Sansom St Suite 239 Philadelphia PA 19107-5002
Phone: (215) 955-6844
Fax: (215) 955-2526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD434293 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD434293 Pennsylvania

Profile Details

NPI number 1780845297
LBN Legal business name Mammen, Priya Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Sep 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780845297 NPPES
New Jersey MEDICAID 0169692
New Jersey MEDICAID 102189701

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