Organization
JOSEPH F. MAMBU, MD PC
Active
Other names
Family Medicine, Geriatrics & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH F MAMBU M.D. (PRESIDENT)
(215) 540-4411
Entity
Organization
Contact information
Practice address
714 N BETHLEHEM PIKE, STE 101, LOWER GWYNEDD, PA 19002-2655
(215) 540-4411
(215) 540-4415
Mailing address
714 N BETHLEHEM PIKE, STE 101, LOWER GWYNEDD, PA 19002-2655
(215) 540-4411
(215) 540-4415
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD017725E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0864515001
BCBS-PA KEYSTONE
PA
01
—
921651
BCBS-PA HIGHMARK
PA
Enumeration date
06/24/2005
Last updated
06/19/2008
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