Individual
DR. JUSTIN A MAYKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
67 BELMONT ST, COLORECTAL SURGERY, WORCESTER, MA 01605-2657
(508) 334-8195
(508) 334-8130
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
212159
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110004166A
—
MA
Enumeration date
11/09/2005
Last updated
11/05/2020
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