Individual
JENNY LAHERI MAMTORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
480 MAPLE ST, DANVERS, MA 01923-4065
(978) 304-8380
Mailing address
BILH MERRIMACK VALLEY FAMILY MEDICINE, 100 ANDOVER BYPASS STREET, NORTH ANDOVER, MA 01845
(978) 470-1616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1017039
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2020
Last updated
03/13/2024
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