Maximos, Samir Lewis
Maximos, Samir Lewis is an individual health care provider with primary practice located at 1825 Kennedy Blvd , Jersey City NJ 07305-2106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Maximos, Samir Lewis can be contacted via phone (201) 547-6117.Contact Information
Primary practice address
1825 Kennedy Blvd
Jersey City NJ 07305-2106
Phone: (201) 547-6117
Fax: (201) 547-0199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 60477 | New Jersey |
Profile Details
| NPI number | 1487607099 |
|---|---|
| LBN Legal business name | Maximos, Samir Lewis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Aug 23rd, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487607099 | NPPES |
| New Jersey | MEDICAID | 6434401 |
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