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Individual
ERIN MADDEN
Active
Individual
ERIN MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
003689-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26367
HEALTHCARE PROVIDER
—
Enumeration date
03/20/2020
Last updated
03/20/2020
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