Organization
MAXIS MEDICAL SERVICES
Active
Other names
maxis women's health services
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THERESA VAUTRINOT (CEO)
(570) 281-1001
Entity
Organization
Contact information
Practice address
141 SALEM AVE, SUITE G2, CARBONDALE, PA 18407-2574
(570) 281-1120
Mailing address
PO BOX 517, CARBONDALE, PA 18407-0517
(570) 281-1120
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
OS005206L
PA
Other
Enumeration date
03/02/2007
Last updated
07/20/2007
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