Organization
MAXIM MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD TERHAAR (PRESIDENT)
(716) 608-8700
Entity
Organization
Contact information
Practice address
3085 HARLEM RD, STE 350, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(716) 844-5750
Mailing address
3085 HARLEM RD, STE 350, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(716) 844-5750
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
06/28/2010
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