DR. Jennifer Lynn Maitra, M.D.

NPI #1619996535 in Avondale, Arizona

Provider Information

NPI Number: 1619996535
Entity Type: Individual
Name: DR. Jennifer Lynn Maitra, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 19, 2006
Last Updated: Oct 11, 2012

Practice Location

Address: 3400 N DYSART RD
Address 2: UNIT G-127
City: Avondale
State: Arizona
ZIP Code: 85392-1003
Phone: (623) 882-0077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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