Smith, Maximilian James
Smith, Maximilian James is an individual health care provider with primary practice located at 41 Mall Road Lahey Hospital & Medical Center, Burlington MA 01805-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Smith, Maximilian James can be contacted via phone (781) 744-8170.Contact Information
Primary practice address
41 Mall Road Lahey Hospital & Medical Center
Burlington MA 01805-0001
Phone: (781) 744-8170
Fax: (781) 744-5232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 57898 | Colorado |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 266093 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | 266093 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 266093 | Massachusetts |
Profile Details
| NPI number | 1962791467 |
|---|---|
| LBN Legal business name | Smith, Maximilian James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2011 |
| Last updated | Jun 26th, 2018 - about 8 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 | 1962791467 | NPPES |
| Nebraska | Other | NA1214108 | MEDICARE PIN |
| Nebraska | Other | 111257095 | MEDICARE PIN |
| Nebraska | Other | 559221YQN9 | MEDICARE PIN |
| Nebraska | Other | 559221YQPG | MEDICARE PIN |
| Nebraska | Other | 559221ZLJ3 | MEDICARE PIN |
| Nebraska | Other | NA1215109 | MEDICARE PIN |
| Nebraska | Other | 559221YQ33 | MEDICARE PIN |
| Nebraska | Other | KA3249086 | MEDICARE PIN |
| Nebraska | MEDICAID | 16317513 | MEDICARE PIN |
| Nebraska | Other | H109845 | MEDICARE PIN |
| Nebraska | Other | H109846 | MEDICARE PIN |
| Nebraska | Other | H109847 | MEDICARE PIN |
| Nebraska | Other | NA2517086 | MEDICARE PIN |
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