Individual
VANESSA N. MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34TH STREET & CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4399
(215) 590-1858
(215) 590-3934
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BUILDING, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD430803
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024895660001
—
PA
01
—
191470EMD
MEDICARE PTAN
PA
Enumeration date
07/25/2007
Last updated
04/10/2013
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