Individual
LORRAINE MAITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
64 RIVER RD FL 1, SUMMIT, NJ 07901-1443
(973) 218-1199
(973) 218-1179
Mailing address
64 RIVER RD FL 1, SUMMIT, NJ 07901-1443
(973) 218-1199
(973) 218-1179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
160090-1
NY
207R00000X
Internal Medicine Physician
Primary
25MA05257000
NJ
Other
Enumeration date
10/11/2007
Last updated
10/24/2020
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