Individual provider · Type 1 NPI

Ajit Mammen, M.B.B.S.

Pediatric Critical Care Medicine Physician · Philadelphia, PA

NPI number 1417147646 Active

Practice location

34th & Civic Center Blvd, Children's Hospital Of Philadelphia
Philadelphia, PA 19104-4399

Call (215) 590-1000 Map

Fax (215) 590-2204

Mailing address

3535 Market St, 12th Floor, Suite 1220 - Chop Dept Of Msa
Philadelphia, PA 19104-3309

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician Primary 2080P0203XMD432238 (PA)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1417147646

Ajit Mammen, M.B.B.S.'s National Provider Identifier is 1417147646, issued on Jul 25, 2007. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 25, 2007.