Maxis Medical Services
Family Medicine in Carbondale, PA. Organization (NPI-2).
NPI number1932287331
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1932287331
- Entity type
- Organization (NPI-2)
- Legal business name
- Maxis Medical Services
- Organization subpart
- No
- Enumeration date
- Nov 2, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
100 Lincoln AveCarbondale, PA 18407-2116
Phone 570-281-1315 · Fax 570-281-1256
Mailing address
100 Lincoln AveCarbondale, PA 18407-2116
Phone 570-281-1315 · Fax 570-281-1256
Authorized official
Mary Theresa Vautrinot
Chief Executive Officer
5702811315
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