Individual
DR. JOSHUA P. MAMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
713 NORTH EASTERN AVE., CROWLEY, LA 70526-3856
(337) 788-2216
(337) 783-9407
Mailing address
713 NORTH EASTERN AVE., CROWLEY, LA 70526
(337) 788-2216
(337) 783-9407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05428R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320501
—
LA
Enumeration date
10/30/2006
Last updated
07/08/2007
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