Individual
AJIT MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4399
(215) 590-1000
(215) 590-2204
Mailing address
3535 MARKET ST, 12TH FLOOR, SUITE 1220 - CHOP DEPT OF MSA, PHILADELPHIA, PA 19104-3309
(215) 590-4670
(215) 590-2204
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD432238
PA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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