Individual
DR. IRENE MAMKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2724
(973) 322-6900
(973) 322-6999
Mailing address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2724
(973) 322-6900
(973) 322-6999
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
250979
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
250979
NY
Other
Enumeration date
03/29/2008
Last updated
02/03/2014
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