Individual
RICHARD JAY MAX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-8221
(919) 789-4461
Mailing address
PO BOX 19368, RALEIGH, NC 27619-9368
(919) 787-8221
(919) 789-4461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22945
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-54622
UNITED HEALTHCARE
NC
01
—
16-54623
UNITED HEALTHCARE
NC
01
—
16-54624
UNITED HEALTHCARE
NC
01
—
55101
BLUECROSS BLUESHIELD
NC
01
—
63124
MEDCOST
NC
01
—
63157
MEDCOST
NC
01
—
63185
MEDCOST
NC
05
—
8955101
—
NC
Enumeration date
05/25/2006
Last updated
07/08/2007
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