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Organization

SUNNY INTERNAL MEDICINE AND PEDIATRICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER MAITRA M. D. (PHYSICIAN)
(623) 882-0077
Entity
Organization

Contact information

Practice address
3400 N DYSART RD STE G127, AVONDALE, AZ 85392-1003
(623) 882-0077
(623) 882-9977
Mailing address
3400 N DYSART RD, SUITE G-127, AVONDALE, AZ 85392-1003
(623) 882-0077
(623) 882-9977

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31741
AZ
207R00000X
Internal Medicine Physician
31810
AZ
208000000X
Pediatrics Physician
31741
AZ
208000000X
Pediatrics Physician
31810
AZ

Other

Enumeration date
11/12/2007
Last updated
06/10/2015
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