Provider Demographics
NPI:1659120160
Name:HOTTON, MAXX FREDERICK (MD)
Entity type:Individual
Prefix:DR
First Name:MAXX
Middle Name:FREDERICK
Last Name:HOTTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1063 MOSSER RD APT H204
Mailing Address - Street 2:
Mailing Address - City:BREINIGSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18031-1372
Mailing Address - Country:US
Mailing Address - Phone:631-707-0237
Mailing Address - Fax:
Practice Address - Street 1:2545 SCHOENERSVILLE ROAD
Practice Address - Street 2:DEPARTMENT OF EMERGENCY AND HOSPITAL MEDICINE
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7300
Practice Address - Country:US
Practice Address - Phone:484-884-2888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT231679207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine