Individual
DR. RALPH R MADEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1202 DRIVING PARK AVE, NEWARK, NY 14513-1057
(585) 922-3150
Mailing address
1202 DRIVING PARK AVE, STE 5, NEWARK, NY 14513-1057
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
233967
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02897703
—
NY
Enumeration date
08/17/2006
Last updated
01/06/2011
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