Individual
DONALD MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 COTTAGE GROVE RD, SUITE B, BLOOMFIELD, CT 06002-3119
(860) 242-0034
(860) 242-3301
Mailing address
421 COTTAGE GROVE RD, SUITE B, BLOOMFIELD, CT 06002-3119
(860) 242-0034
(860) 242-3301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
026642
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001266429
—
CT
Enumeration date
05/23/2006
Last updated
02/26/2013
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