Organization
MADAD GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL MELAMED MD (PRESIDENT)
(575) 628-0926
Entity
Organization
Contact information
Practice address
3600 CERRILLOS RD STE 724C, SANTA FE, NM 87507-2690
(575) 628-0926
Mailing address
2442 CERRILLOS RD STE 281, SANTA FE, NM 87505-3262
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD2007-0654
NM
Other
Enumeration date
07/03/2009
Last updated
07/03/2009
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