Individual
GEORGE MAXTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
(508) 324-7777
Mailing address
400 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
(508) 324-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230098
MA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
230098
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300709
—
MA
01
—
45759
BMC
MA
Enumeration date
10/11/2005
Last updated
07/21/2022
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