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Individual
MICHAEL T MADORNO
Active
Individual
MICHAEL T MADORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05871
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147939000
AMERIHELATH ID#
NJ
01
—
3181995
AETNA
NJ
01
—
721558741
HORIZON
NJ
01
—
MC05871
NJ STATE LICENSE
NJ
01
—
P00030803
RAILRAOD MEDICARE
NJ
Enumeration date
07/25/2006
Last updated
10/22/2012
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