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Elizabeth Varland Maxwell, PA
Surgical Physician Assistant in Rochester, New York
NPI 1073895215

Elizabeth Varland Maxwell is a Surgical Physician Assistant based in Rochester, NY and is specialized in Surgical. Elizabeth Varland Maxwell practices in Rochester, NY and has the professional credentials of PA. The NPI Number for Elizabeth Varland Maxwell is 1073895215 and holds a License No. 014911 (New York).

The current practice location address for Elizabeth Varland Maxwell is 1425 Portland Ave, Rochester, NY and can be reached out via phone at 585-922-4000.

Location: 1425 Portland Ave, Rochester, NY, 14617-5504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073895215
Provider Name
Elizabeth Varland Maxwell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1425 Portland Ave, Rochester, NY, 14617-5504
Phone Number
585-922-4000
Fax Number
Provider Enumeration Date
09/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12371645 01 NY CAQH
03457178 05 NY
institution
Provider Business Practice Location Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3001
Phone Number
585-922-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3001
Phone Number
585-922-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
014911 (New York)
Definition
Definition to come...
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