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Organization

P. JOSHUA MAMMEN M.D. A.P.M.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA P MAMMEN M.D. (GENERAL SURGEON/OWNER)
(337) 788-2216
Entity
Organization

Contact information

Practice address
713 N EASTERN AVE, CROWLEY, LA 70526-3856
(337) 788-2216
(337) 783-9407
Mailing address
711 N MONTGOMERY AVE, KAPLAN, LA 70548-2923
(337) 643-1747
(337) 643-3707

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
05428R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1320501
LA
01
1639255995
NPI
LA
Enumeration date
05/09/2008
Last updated
06/09/2008
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