MANJU MAHAJAN (NPI# 1336434430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336434430 |
| Entity Type | Individual |
| Full Name | MANJU MAHAJAN |
| Credential | MD |
| Practice Address |
788 Boston Rd Groton MA 01450-2056 |
| Mailing Address |
5 Weetamoo Way Westford MA 01886-6318 |
| Practice Telephone | 9787849921 |
| Mailing Telephone | 4093921916 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 278526 | MA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | P9902 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 41406 | IA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 8P10040877 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 129 8th Ave Se, Covenant Clinic - Oelwein, Oelwein, IA 50662 | 3192836153 | 4097722663 |
| Street Address |
788 BOSTON RD |
| City | GROTON |
| State | MA |
| Zip Code | 01450-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184149577 | Anthony Delmonte | Occupational Therapist | 108 Riverbend Dr, Groton, MA 01450 | 2017-08-07 |
| 1235368242 | Hilde Hamar Westvik | Internal Medicine | 1 Forge Village Road, Ste C, Groton, MA 01450 | 2009-07-11 |
| 1275796351 | Groton Medical Wellness Spa LLC | Acupuncturist | 493 Main Street, Groton, MA 01450 | 2008-07-08 |
| 1629231709 | Groton Dental Wellness Center | Dental Hygienist | 495 Main Street, Groton, MA 01450 | 2008-07-08 |
| 1174793731 | Jane Shustin | Social Worker | 493 A Main St, Mill Run Plaza, Groton, MA 01450 | 2008-03-10 |
| 1609085083 | Nancy Douglas Foster | Nurse Practitioner | 282 Farmers Row, Groton, MA 01450 | 2007-05-22 |
| 1689716813 | John P. Katzenberg | Internal Medicine | 292 Main St., Groton, MA 01450 | 2007-02-13 |
| 1801942768 | Palm Lorraine Riposa | Registered Nurse | 144 Clinics One, Boston, MA 01450 | 2007-01-25 |
| 1316001233 | Mark Lane Randall | Dentist | 16a Hollis St., Groton, MA 01450 | 2006-12-22 |
| 1346359957 | John P Scollard | Social Worker | 145 Lowell Road, Groton, MA 01450 | 2006-08-29 |
| Find all providers in zip 01450 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780197715 | Yvonne J Sinclair | Family Medicine | 65 Merlino Dr, Groton, CT 06340-3149 | 2017-11-13 |
| 1982045969 | Jonathan Casey Brown | Family Medicine | 395 Hazelnut Hill Rd, Groton, CT 06340-3208 | 2013-07-08 |
| 1790970937 | Peter Clark, Md, PC | Family Medicine | 220 W South St, Groton, NY 13073-1237 | 2007-09-11 |
| 1306031976 | Avera St Luke's | Family Medicine | 8 E Us Highway 12, Groton, SD 57445-2176 | 2007-09-07 |
| 1427037159 | Ahmad M Mehdi | Family Medicine | 100 Sykes St, Groton, NY 13073 | 2006-01-11 |
| 1558345918 | John Christopher Daniel | Family Medicine | Trout Ave Bldg 141, Naval Submarine Medical Research Laboratory, Groton, CT 06349-5900 | 2005-11-30 |
| 1114918828 | Paul David Seeman | Family Medicine | Route 12 Bldg 449 Professional Affairs, Naval Ambulatory Care Center, Groton, CT 06349-5600 | 2005-11-02 |
| 1710978739 | Joel Walter Larcombe | Family Medicine | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2005-10-31 |
| 1588984264 | Tisha N. Dickey | Family Medicine | 1 Forge Village Rd, Groton, MA 01450-2047 | 2010-06-04 |
| 1972730380 | William A Boller IIi | Family Medicine | 1 Wahoo Ave, Groton, CT 06349-2324 | 2009-06-12 |
| Find all providers in GROTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.