Maitra, Jennifer Lynn

Maitra, Jennifer Lynn is an individual health care provider with primary practice located at 3400 N Dysart Rd Unit G-127, Avondale AZ 85392-1003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Maitra, Jennifer Lynn can be contacted via phone (623) 882-0077.

Contact Information

Primary practice address
3400 N Dysart Rd Unit G-127 Avondale AZ 85392-1003
Phone: (623) 882-0077
Fax: (623) 882-9977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31741 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31741 Arizona

Profile Details

NPI number 1619996535
LBN Legal business name Maitra, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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