Individual
BARBARA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LEMUEL SHATTUOCK HOSPITAL, 170 MORTON STREET, JAMAICA PLAIN, MA 02130
(617) 522-8110
Mailing address
25 WEDGEMERE AVE, WINCHESTER, MA 01890-2438
(617) 522-8110
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34716
MA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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