Mathur, Manorama

Mathur, Manorama is an sole proprietor health care provider with primary practice located at 1127 Salem St , Malden MA 02148-4637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mathur, Manorama can be contacted via phone (781) 324-6192.

Contact Information

Primary practice address
1127 Salem St Malden MA 02148-4637
Fax: (781) 324-2930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37384 Massachusetts

Profile Details

NPI number 1245212570
LBN Legal business name Mathur, Manorama
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Jan 5th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245212570 NPPES
Massachusetts Other M08791B MEDICARE PTAN
Massachusetts MEDICAID 2021544 MEDICARE PTAN

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