Maksim Boguslavskiy, DO | |
500 Plaza Ct, East Stroudsburg, PA 18301-8262 | |
(570) 426-2301 | |
Not Available |
Full Name | Maksim Boguslavskiy |
---|---|
Gender | Male |
Speciality | Surgery - Surgical Critical Care |
Location | 500 Plaza Ct, East Stroudsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821520107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 73584 (Minnesota) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | OS023953 (Pennsylvania) | Primary |
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
Mailing Address | Practice Location Address |
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Maksim Boguslavskiy, DO 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: () - | Maksim Boguslavskiy, DO 500 Plaza Ct, East Stroudsburg, PA 18301-8262 Ph: (570) 426-2301 |
Anngell Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Plaza Ct, Suite D, East Stroudsburg, PA 18301 Phone: 570-426-2301 Fax: 570-423-2306 | |
Mukesh J Mehta, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 175 E Brown St, Suite 110, East Stroudsburg, PA 18301 Phone: 570-424-6667 | |
Dr. Boris Paul, M.D.,F.A.C.S Surgery Medicare: Medicare Enrolled Practice Location: 505 Independence Rd, Ste E, East Stroudsburg, PA 18301 Phone: 570-421-5997 Fax: 570-421-7635 | |
Dr. Mohamed T Lareef, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 E Brown St, Pmc Physician Associates General Surgery, East Stroudsburg, PA 18301 Phone: 570-426-2301 | |
Biren Kishor Juthani, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 447 Plaza Court, Building 500 Suite B, East Stroudsburg, PA 18301 Phone: 570-426-2301 Fax: 570-426-2306 | |
Alexandra Sylvia Vagasi, MD Surgery Medicare: Medicare Enrolled Practice Location: 175 E Brown St, East Stroudsburg, PA 18301 Phone: 570-395-2500 | |
Nicolas Teleo, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 175 E Brown St, Suite 114, East Stroudsburg, PA 18301 Phone: 570-426-2301 Fax: 570-426-2306 |