| Maxis Medical Services | |
|
100 Lincoln Ave Carbondale PA 18407-2116 | |
| (570) 281-1315 | |
| (570) 281-1256 |
| Full Name | Maxis Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Lincoln Ave, Carbondale, Pennsylvania |
| Authorized Official Name and Position | Mary Theresa Vautrinot (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5702811315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxis Medical Services 100 Lincoln Ave Carbondale PA 18407-2116 Ph: (570) 281-1315 | Maxis Medical Services 100 Lincoln Ave Carbondale PA 18407-2116 Ph: (570) 281-1315 |
| NPI Number | 1932287331 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932287331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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