Individual
DR. JENNIFER LYNN MAITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 N DYSART RD, UNIT G-127, AVONDALE, AZ 85392-1003
(623) 882-0077
(623) 882-9977
Mailing address
3400 N DYSART RD, UNIT 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
208000000X
Pediatrics Physician
31741
AZ
Other
Enumeration date
07/19/2006
Last updated
10/11/2012
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