National Provider Identifier
Maxwell Boev Medical Group PLLC
Maxwell Boev Medical Group PLLC is listed in the NPPES registry with a primary specialty of Neurological Surgery Physician in Rochester, NY and a listed phone number of (585) 342-7170.
Profile Overview
- NPI
- 1104197037
- Provider Type
- Organization
- Primary Specialty
- Neurological Surgery Physician
- Enumeration Date
- January 24, 2012
- Last Updated
- April 04, 2012
Practice Location
- 1445 Portland Ave
- Suite 304
- Rochester, NY 14621-3036
Phone: (585) 342-7170
Specialties
- Neurological Surgery Physician (207T00000X)
Full Record
- NPI
- 1104197037
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Maxwell Boev Medical Group PLLC
- Mailing Street Address
- 1445 Portland Ave
- Mailing Address Line 2
- Suite 304
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3036
- Mailing Country
- US
- Mailing Phone
- (585) 342-7170
- Mailing Fax
- (585) 342-5855
- Practice Street Address
- 1445 Portland Ave
- Practice Address Line 2
- Suite 304
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3036
- Practice Country
- US
- Practice Phone
- (585) 342-7170
- Practice Fax
- (585) 342-5855
- Enumeration Date
- January 24, 2012
- Last Updated
- April 04, 2012
- Authorized Official Last Name
- Maxwell
- Authorized Official First Name
- James
- Authorized Official Title
- Provider
- Authorized Official Phone
- (585) 342-7170
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Neurological Surgery Physician (207T00000X)