Maxwell Kligerman, MD, MPH
Otolaryngology, Plastic Surgery within the Head & Neck in Decatur, GA. Individual provider (NPI-1).
NPI number1366979080
StatusActive
Last updated in NPPESSep 5, 2023
Details
- NPI
- 1366979080
- Entity type
- Individual (NPI-1)
- Name
- Maxwell Kligerman
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2017
- Certification date
- Aug 25, 2023
- Last updated
- Sep 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | 95753 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207Y00000X | Otolaryngology | A158560 | CA |
Practice location
Emory University School Of Medicine2675 N Decatur Road, Suite 707
Decatur, GA 30033
Phone 404-778-3381
Mailing address
Emory School Of Medicine Department Of Otolaryngology2675 N Decatur Roade, Suite 707
Decatur, GA 30033
Phone 404-778-3381
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