Casey J Maks MD

NPI 1174783864 - Internal Medicine - 207R00000X

NPI Details
NPI 1174783864
Gender Female
Enumeration Date 06/16/2008
Last Updated 06/16/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
593 EDDY ST
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-8450
Fax (401) 444-5088
Business Location
593 EDDY ST
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-8450
Fax (401) 444-5088
Toxanomy
Taxonomy Code 207R00000X
License State Rhode Island
License Number LP01337
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According to our database, Casey J Maks MD NPI is 1174783864, taxonomy code is 207R00000X and license number is LP01337, license state is located at Rhode Island. Casey J Maks MD physically located at 593 Eddy St, Providence RI, 02903-4923. NPI Number Casey J Maks MD has the Individual type.

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1174783864 NPI number is provided on an as is basis without warranty of any kind. 1174783864 is maintained by the National Plan & Provider Enumeration System. The contents of Casey J Maks MD are for informational purposes only.