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Individual

DR. GEORGE J MAMO

Active
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Individual

DR. GEORGE J MAMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0036523
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1900383
AMERICHOICE PROV. NO.
MD
05
192011100
MD
01
20679012
UNITED HEALTHCARE
MD
01
52581804
CAREFIRST OF MD PROV. NO.
MD
01
614797
MAMSI PROVIDER NUMBER
MD
01
E6120002
BCBS FEDERAL PROVIDER NO.
MD
Enumeration date
01/17/2007
Last updated
03/12/2025
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