Maxwell, Donald

Maxwell, Donald is an individual health care provider with primary practice located at 421 Cottage Grove Rd Suite B, Bloomfield CT 06002-3119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Maxwell, Donald can be contacted via phone (860) 242-0034.

Contact Information

Primary practice address
421 Cottage Grove Rd Suite B Bloomfield CT 06002-3119
Phone: (860) 242-0034
Fax: (860) 242-3301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 026642 Connecticut

Profile Details

NPI number 1740235282
LBN Legal business name Maxwell, Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Feb 26th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740235282 NPPES
Connecticut MEDICAID 001266429

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