Individual
THOMAS MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 W14TH ST, WILMINGTON, DE 19899
(302) 428-4175
(302) 428-4951
Mailing address
PO BOX 30170, WILMINGTON, DE 19805-7170
(302) 623-7362
(302) 623-7374
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C10001807
DE
Other
Enumeration date
02/22/2006
Last updated
06/24/2008
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