Individual
JUSTIN MAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
292 DEN QUARRY RD, LYNN, MA 01904-1323
(781) 484-6582
Mailing address
292 DEN QUARRY RD, LYNN, MA 01904-1323
(781) 484-6582
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN2324372
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2324372
MA
Other
Enumeration date
11/21/2022
Last updated
06/17/2023
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