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Dr. Simi Rachel Mammen, MD
Student in an Organized Health Care Education/Training Program in Watertown, New York
NPI 1104678408

Simi Rachel Mammen is a Student in an Organized Health Care Education/Training Program based in Watertown, NY. Simi Rachel Mammen practices in Watertown, NY and has the professional credentials of MD. The NPI Number for Simi Rachel Mammen is 1104678408 and holds a License No. (New York).

The current practice location address for Simi Rachel Mammen is 830 Washington St, Watertown, NY and can be reached out via phone at 315-786-7300 and via fax at 315-786-7310.

Location: 830 Washington St, Watertown, NY, 13601-4099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104678408
Provider Name
Simi Rachel Mammen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
830 Washington St, Watertown, NY, 13601-4099
Phone Number
315-786-7300
Fax Number
315-786-7310
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
830 Washington St
City
Watertown
State
New York
Zip
13601-4099
Phone Number
315-786-7300
Fax Number
315-786-7310
person
Provider Business Mailing Address Details
Address
830 Washington St
City
Watertown
State
New York
Zip
13601-4099
Phone Number
315-786-7300
Fax Number
315-786-7310
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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