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Maxiam Dean

Family Medicine in Buffalo, NY. Individual provider (NPI-1).

NPI number1003436601
StatusActive
Last updated in NPPESSep 25, 2023

Details

NPI
1003436601
Entity type
Individual (NPI-1)
Name
Maxiam Dean
Sex
Male
Sole proprietor
No
Enumeration date
Apr 23, 2020
Certification date
Sep 25, 2023
Last updated
Sep 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine320766NYYes

Practice location

3495 Bailey Ave
Buffalo, NY 14215-1129

Phone 716-834-9200

Mailing address

3495 Bailey Ave
Buffalo, NY 14215-1129

Phone 716-834-9200

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