Individual
HALFDAN BAU-MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3998 RED LION RD, EMERGENCY DEPARTMENT, PHILADELPHIA, PA 19114-1436
(215) 612-4963
(215) 612-4532
Mailing address
PO BOX 8500-6336, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS013928
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0730941000
KEYSTONE IBC
PA
05
—
1019828620001
—
PA
05
—
1019828620002
—
PA
05
—
1019828620003
—
PA
01
—
30044985
KEYSTONE MERCY
PA
01
—
39138
HEALTH PARTNERS
PA
01
—
452729
AETNA CONTRACT
PA
Enumeration date
06/18/2007
Last updated
05/19/2008
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