# MADELIENE ELAINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255910063
- **Authorized official:** MADELIENE GAINERS MD (OWNER)
- **Authorized official phone:** (412) 638-8585

## Contact information

- **Practice address:** 5530 WISCONSIN AVE STE 612, CHEVY CHASE, MD 20815-4430
- **Practice address phone:** (412) 638-8585
- **Mailing address:** 10536 JOYCETON DR, LARGO, MD 20774-1332
- **Mailing address phone:** (412) 638-8585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/07/2021
- **Last updated:** 04/07/2021