Organization
JAMN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKTHA THAKUR MD (MANAGING MEMBER)
(800) 310-7334
Entity
Organization
Contact information
Practice address
6 WARWICK CIR, ANDOVER, MA 01810-2573
(800) 310-7334
(469) 453-3374
Mailing address
DEPT 880252 PO BOX 29650, PHOENIX, AZ 85038-9650
(800) 310-7334
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
261758
MA
Other
Enumeration date
06/14/2018
Last updated
04/10/2019
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