Individual
THERESA MAXAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
FNP-BC, APRN
Contact information
Practice address
618 WEST AVE, NORWALK, CT 06850-4068
(203) 852-9525
Mailing address
618 WEST AVE STE 1, NORWALK, CT 06850-4068
(203) 852-9525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12.015053
CT
Other
Enumeration date
07/22/2025
Last updated
01/09/2026
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