Dr. Clyde A. Maxwell Jr, Pa

NPI 1053464560 - Dentist - 122300000X

NPI Details
NPI 1053464560
Enumeration Date 01/19/2007
Last Updated 06/17/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CLYDE A CLYDE
Position DENTIST
Phone (302) 765-3373
Fax (302) 765-3379
Practice Location
303 E LEA BLVD
WILMINGTON DE, 19802-2353, US
Phone (302) 765-3373
Fax (302) 765-3379
Business Location
188 FRIES MILL RD
TURNERSVILLE NJ, 08012-2015, US
Phone (856) 740-5124
Fax (856) 740-5127
Toxanomy
Taxonomy Code 122300000X
License State Delaware
License Number G1-0001159
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According to our database, Dr. Clyde A. Maxwell Jr, Pa NPI is 1053464560, taxonomy code is 122300000X and license number is G1-0001159, license state is located at Delaware. Dr. Clyde A. Maxwell Jr, Pa physically located at 303 E Lea Blvd, Wilmington DE, 19802-2353. NPI Number 1033115704 has the healthcare provider type.

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1053464560 NPI number is provided on an as is basis without warranty of any kind. 1053464560 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. Clyde A. Maxwell Jr, Pa are for informational purposes only.