Maksim Boguslavskiy, DO
Surgery, Surgical Critical Care in East Stroudsburg, Pennsylvania
1821520107- Practice location
- 500 Plaza CT, East Stroudsburg, PA 18301-8262
- Phone
- 570-426-2301
- Fax
- —
- Last updated
- September 9, 2024
Maksim Boguslavskiy is a Surgery, Surgical Critical Care based in East Stroudsburg, PA. Maksim Boguslavskiy practices in East Stroudsburg, PA and has the professional credentials of DO. The NPI Number for Maksim Boguslavskiy is 1821520107 and holds a License No. 73584 (MN). The current practice location address for Maksim Boguslavskiy is 500 Plaza CT, East Stroudsburg, PA 18301-8262 and can be reached out via phone at 570-426-2301.
Provider Profile Details
- NPI Number
- 1821520107
- Provider Name
- Maksim Boguslavskiy
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 500 Plaza CT, East Stroudsburg, PA 18301-8262
- Phone Number
- 570-426-2301
- Primary Taxonomy
- Surgery, Surgical Critical Care · 2086S0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 28, 2017
- Last Update Date
- September 9, 2024
- Certification Date
- September 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Plaza CT
East Stroudsburg, PA 18301-8262 - City
- East Stroudsburg
- State
- Pennsylvania
- Zip
- 18301-8262
- Phone Number
- 570-426-2301
Provider Business Mailing Address Details
- Address
- 2100 Mack Blvd Fl 4
Allentown, PA 18103-5622 - City
- Allentown
- State
- PA
- Zip
- 18103-5622
License Information
- License Number (1)
- 73584
- License State (1)
- MN
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- OS023953
- License State (2)
- PA
- Taxonomy (2)
- Surgery, Surgical Critical Care · 2086S0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Maksim Boguslavskiy, DO?
The NPI number of Maksim Boguslavskiy, DO is 1821520107. It was assigned on March 28, 2017 and is currently active in the NPPES registry.
What is the specialty of Maksim Boguslavskiy, DO?
Maksim Boguslavskiy, DO is registered under the primary taxonomy Surgery, Surgical Critical Care (code 2086S0102X), licensed in MN under license number 73584.
Where does Maksim Boguslavskiy, DO practice?
The practice location is 500 Plaza CT, East Stroudsburg, PA 18301-8262. The office can be reached at 570-426-2301 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821520107 directly on the NPPES registry website.