# CARLOS A. MADRID PC.

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

## Provider details

- **NPI number:** 1902092810
- **Authorized official:** DR. CARLOS AUGUSTO MADRID M.D. (PRESIDENT)
- **Authorized official phone:** (978) 458-4333

## Contact information

- **Practice address:** 275 VARNUM AVE, SUITE 208, LOWELL, MA 01854-2141
- **Practice address phone:** (978) 458-4333
- **Mailing address:** 275 VARNUM AVE, SUITE 208, LOWELL, MA 01854-2141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 59560 | MA | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 09/25/2007