Individual provider · Type 1 NPI
Joshua P. Mammen, MD
Specialist · Crowley, LA
NPI number
1639255995
Active
Practice location
713 North Eastern Ave.
Crowley, LA 70526-3856
Fax (337) 783-9407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 05428R (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1639255995
Joshua P. Mammen, MD's National Provider Identifier is 1639255995, issued on Oct 30, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Crowley, LA. The record was last updated on Jul 8, 2007.