Individual
JOSEPH F MAMBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 N BETHLEHEM PIKE, STE 101, LOWER GWYNEDD, PA 19002-2655
(215) 540-4411
(215) 540-4415
Mailing address
PO BOX 744, SPRING HOUSE, PA 19477-0744
(215) 470-4057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD017725E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000691821002
—
PA
Enumeration date
06/08/2005
Last updated
08/03/2018
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