SearchVermont1041C0700X

Maxwell Crystal

NPI 1003771155 · on the registry since 2025 · sole proprietor

Practice

Address
43 Colonial Rd Unit 101
Fairfax, VT 05454
Phone
(802) 777-0512

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
VT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont