National Provider Identifier
Manoj Jacob Mammen, M.D.
Manoj Jacob Mammen, M.D. is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician in Rochester, NY and a listed phone number of (585) 275-4161.
Profile Overview
- NPI
- 1770778045
- Provider Type
- Individual
- Primary Specialty
- Pulmonary Disease Physician
- Enumeration Date
- September 10, 2007
- Last Updated
- July 17, 2023
Practice Location
- 601 Elmwood Ave.
- Rochester, NY 14642-0001
Phone: (585) 275-4161
Mailing Address
- 601 Elmwood Ave Box 675
- Rochester, NY 14642-0001
Specialties
- Pulmonary Disease Physician (207RP1001X)
- Critical Care Medicine (Internal Medicine) Physician (207RC0200X)
- Internal Medicine Physician (207R00000X)
- Physician Assistant (363A00000X)
Endpoints
- mmammen249270@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1770778045
- Entity Type
- Individual
- Last Name
- Mammen
- First Name
- Manoj
- Middle Name
- Jacob
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave Box 675
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-4161
- Practice Street Address
- 601 Elmwood Ave.
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-4161
- Practice Fax
- (585) 273-1171
- Enumeration Date
- September 10, 2007
- Last Updated
- July 17, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 02, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pulmonary Disease Physician (207RP1001X), Critical Care Medicine (Internal Medicine) Physician (207RC0200X), Internal Medicine Physician (207R00000X), Physician Assistant (363A00000X)
- Other Identifiers
- 03251714 (NY)