Individual provider · Type 1 NPI

Maxwell Jonathan Stukalin

Student in an Organized Health Care Education/Training Program · Wilmington, DE

NPI number 1730023474 Active

Practice location

1600 Rockland Rd Ste 3D16
Wilmington, DE 19803-3607

Call (302) 651-4000 Map

Fax (302) 651-5954

Other practice locations

  • 111 S 11th St, Philadelphia, PA 19107-4870 · (215) 955-6000
  • 501 W 14th St, Wilmington, DE 19801-1013 · (302) 733-1000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XC7-0019189 (DE)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730023474

Maxwell Jonathan Stukalin's National Provider Identifier is 1730023474, issued on Apr 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilmington, DE. The record was last updated on Apr 30, 2026.