Maxis Medical Services | |
263 Carbondale Rd Waymart PA 18472-9113 | |
(570) 488-5544 | |
Not Available |
Full Name | Maxis Medical Services |
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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 |
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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 |
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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 |