| Maxis Medical Services | |
|
263 Carbondale Rd Waymart PA 18472-9113 | |
| (570) 488-5544 | |
| Not Available |
| Full Name | Maxis Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 263 Carbondale Rd, Waymart, Pennsylvania |
| Authorized Official Name and Position | Mary Theresa Vautrinot (CEO) |
| Authorized Official Contact | 5702811315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxis Medical Services Po Box 517 Carbondale PA 18407-0517 Ph: (570) 281-1287 | Maxis Medical Services 263 Carbondale Rd Waymart PA 18472-9113 Ph: (570) 488-5544 |
| NPI Number | 1659410504 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 09/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659410504 | NPI | - | NPPES |
| 1467916 | Other | PA | PENNA BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |