Individual
MR. JOSEPH DANIEL MAMMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
611 NEW RD, NORTHFIELD, NJ 08225-1669
(609) 645-1500
(609) 625-8245
Mailing address
925 CHESTNUT ST, FL 5, PHILADELPHIA, PA 19107-4206
(800) 321-9999
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00270300
NJ
Other
Enumeration date
10/25/2011
Last updated
02/25/2016
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