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Organization
MADISON HEALTH SERVICES
Active
Organization
MADISON HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PROCOPIO (PRESIDENT EAST DIV.)
(570) 538-2567
Entity
Organization
Contact information
Practice address
5109 WORLD DAIRY DR., MADISON, WI 53718
(608) 242-0220
(608) 242-1166
Mailing address
6185 PASEO DEL NORTE, STE 150, CARLSBAD, CA 92011-1152
(855) 259-2288
(760) 918-8712
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42225600
—
WI
Enumeration date
01/18/2007
Last updated
11/25/2013
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