Provider Demographics
NPI:1619505674
Name:MAMMOLENTI, CAITLIN MARY ELLYN (MD)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:MARY ELLYN
Last Name:MAMMOLENTI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-812-7687
Practice Address - Fax:717-851-5250
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2025-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD485378207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology