Individual
JAMES T MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1445 PORTLAND AVE, SUITE 304, ROCHESTER, NY 14621-3036
(585) 342-7170
(585) 342-5855
Mailing address
601 ELMWOOD AVE, BOX 670, ROCHESTER, NY 14642-0001
(585) 342-7170
(585) 342-5855
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
137227
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00684184
—
NY
Enumeration date
10/04/2006
Last updated
03/22/2011
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