Petar Mamula
M.D. | Pediatric Gastroenterology | Male
Petar Mamula, M.D. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Petar Mamula is
3401 Civic Center Blvd, Children's Hospital Of Phila - Gastro & Nutrition, Philadelphia, Pennsylvania - 19104-4319. He can be contacted on phone at
215-590-3247 and fax number 215-590-3606.
Petar Mamula is a sole proprietor of his business.
NPI number (Unique professional ID) for Petar Mamula is
1700895612 which was assigned by NPPES on 07 Aug, 2006 and it was last updated on 15 Apr, 2013.
Petar Mamula license number is
MD065396L for Pediatrics Pediatric Gastroenterology (2080P0206X) in Pennsylvania.
Petar Mamula specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Petar Mamula basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Petar Mamula |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Petar Mamula address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3401 Civic Center Blvd, Children's Hospital Of Phila - Gastro & Nutrition
Philadelphia, PA, 19104-4319
United States |
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| Phone Number : | 215-590-3247 |
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| Fax Number : | 215-590-3606 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700895612 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Aug, 2006 |
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| Last Updated On : | 15 Apr, 2013 |
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Medicare Participation:
Petar Mamula participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8921169152 |
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| Medicare Enrollment ID : | I20081206000119 |
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| Primary Specialty : | Gastroenterology |
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| Medical School : | Other |
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| Graduation Year : | 1991 |
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| Accepts Medicare? | Yes. Petar Mamula accepts medicare insurance. |
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Group Practice Association:
Petar Mamula is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Petar Mamula is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Childrens Health Care Associates Inc | 1355253527 | 172 | 3401 Civic Ctr Blvd
Philadelphia, PA - 191044319
Ph: 2155901000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Petar Mamula are as mentioned. Primary taxonomy code for Petar Mamula, M.D. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | MD065396L | PA |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | MD065396L | PA |
Legacy Identifiers:
Other legacy medical identifiers of Petar Mamula such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 8530301 | MEDICAID | NJ | |
| 001847506 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 E Penn Sq, 9th Floor
Philadelphia, PA, 19107-3323
United States |
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| Phone Number : | 267-425-9232 |
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| Fax Number : | 267-425-9299 |
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Business Location:
Patients can refer following map for directions to
Petar Mamula practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.