Provider Demographics
NPI:1740938497
Name:MAXIMAY, JUDITH T
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:T
Last Name:MAXIMAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10601 NARROWLEAF CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2371
Mailing Address - Country:US
Mailing Address - Phone:202-445-9877
Mailing Address - Fax:
Practice Address - Street 1:5508 13TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3502
Practice Address - Country:US
Practice Address - Phone:301-346-1831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health