Individual
ALEX MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 LOTHROP ST, EEI 7TH FLOOR, PITTSBURGH, PA 15213-2548
(412) 647-2200
(412) 647-9607
Mailing address
200 LOTHROP ST, FORBES TOWER ROOM 9055, PITTSBURGH, PA 15213-2536
(412) 647-3087
(412) 647-4486
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD442263
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102604990
—
PA
Enumeration date
10/23/2007
Last updated
09/02/2011
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