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Individual
MR. THOMAS J MADEJSKI
Active
Individual
MR. THOMAS J MADEJSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
171989
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010108801
UNIVERA
—
01
—
000511803005
BLUE CROSS
NY
01
—
000511803007
BLUE CROSS
NY
05
—
01394412
—
NY
01
—
0409024
INDEPENDENT HEALTH
—
01
—
102548BJ
PREFERRED CARE
—
01
—
P010171989
BLUE CHOICE
—
Enumeration date
03/02/2006
Last updated
12/02/2011
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