Individual
MARIAM C MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 W 14TH ST, WILMINGTON HOSPITAL, DEPARTMENT OF PSYCHIATRY, WILMINGTON, DE 19801-1013
(302) 428-2100
(302) 428-2121
Mailing address
501 W 14TH ST, WILMINGTON HOSPITAL, DEPARTMENT OF PSYCHIATRY, WILMINGTON, DE 19801-1013
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C10002041
DE
Other
Enumeration date
01/19/2006
Last updated
04/01/2013
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