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Individual

MAX BIRKHOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
88 WASHINGTON ST, TAUNTON, MA 02780-2465
(508) 828-7000
Mailing address
88 WASHINGTON ST, TAUNTON, MA 02780-2465
(508) 828-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5696
MA
363AM0700X
Medical Physician Assistant
PA 9108624
FL

Other

Enumeration date
04/03/2015
Last updated
01/20/2017
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