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Individual

BETH A MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 GRANNY SMITH COURT, OLD ORCHARD BEACH, ME 04064
(207) 934-7276
(207) 934-0465
Mailing address
1 MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 283-7000
(207) 282-9128

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28697
CO
207R00000X
Internal Medicine Physician
Primary
MD19743
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004760
KAISER-COMMERCIAL NUMBER
05
75350882
CO
Enumeration date
02/16/2007
Last updated
06/17/2014
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