Organization
MAXIS MEDICAL SERVICES
Active
Other names
maxis surgical services
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THERESA VAUTRINOT (CEO)
(570) 281-1000
Entity
Organization
Contact information
Practice address
141 SALEM AVE, CARBONDALE, PA 18407-2574
(570) 281-1287
(570) 281-1256
Mailing address
141 SALEM AVE, CARBONDALE, PA 18407-2574
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/20/2007
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