Healthcare Provider Details

I. General information

NPI: 1811374754
Provider Name (Legal Business Name): MAXIMILIAN MCQUADE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2015
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 ROUTE 70 E
CHERRY HILL NJ
08034-2408
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 609-267-9400
  • Fax: 856-488-5709
Mailing address:
  • Phone: 609-267-9400
  • Fax: 856-488-5709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOT020019
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number25MB12643700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: