Provider Demographics
NPI:1043046766
Name:MAXFIELD, GEORGE FREEMAN
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:FREEMAN
Last Name:MAXFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-2331
Mailing Address - Country:US
Mailing Address - Phone:603-505-6577
Mailing Address - Fax:
Practice Address - Street 1:4 SMITH ST
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-2331
Practice Address - Country:US
Practice Address - Phone:603-505-6577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program