Boutselis, Maximina

Boutselis, Maximina is an individual health care provider with primary practice located at 20 Follinsbee Ln , West Newbury MA 01985-4201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Boutselis, Maximina can be contacted via phone (978) 761-4606.

Contact Information

Primary practice address
20 Follinsbee Ln West Newbury MA 01985-4201
Phone: (978) 761-4606
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 156198 Massachusetts
Allopathic & Osteopathic Physicians / General Practice 208D00000X 156198 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036139315 Illinois

Profile Details

NPI number 1013946094
LBN Legal business name Boutselis, Maximina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Jul 9th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013946094 NPPES
New Hampshire MEDICAID 30200844
New Hampshire MEDICAID 0101290

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