Provider Demographics
NPI:1962732040
Name:MAXIMOS, ROBERT B (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:B
Last Name:MAXIMOS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:85 HERRICK ST
Mailing Address - Street 2:LAHEY AT BEVERLY HOSPITAL
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1790
Mailing Address - Country:US
Mailing Address - Phone:978-922-3000
Mailing Address - Fax:978-921-7048
Practice Address - Street 1:85 HERRICK ST
Practice Address - Street 2:LAHEY AT BEVERLY HOSPITAL
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1790
Practice Address - Country:US
Practice Address - Phone:978-922-3000
Practice Address - Fax:978-921-7048
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2014-07-21
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Provider Licenses
StateLicense IDTaxonomies
DCMD039808207RC0200X, 207RP1001X
MA260478207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine