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NPI Code Detail

MEDICARE: AMITA JAIN M.D.

MEDICARE: AMITA JAIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician279628MA

General Provider Information

NPI Number : 1689089302
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMITA JAIN M.D.
Provider Business Mailing Address
First Line : 81 HIGHLAND AVE
Second Line :
City : SALEM
State : MA
Zip : 01970-2714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 81 HIGHLAND AVE
Second Line :
City : SALEM
State : MA
Zip : 01970-2714
Country : US
Telephone Number : 212-434-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2014
Last Update Date : 02/06/2026

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