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Individual

ROBERT M MADDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
541 MAIN ST, NEW LONDON, NH 03257-7818
(603) 526-3400
Mailing address
541 MAIN ST, NEW LONDON, NH 03257-7818

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2255A2300X
STUDENT
01
390200000X
STUDENT
NH
Enumeration date
01/18/2018
Last updated
01/18/2018
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