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Individual

DR. IVY TAT MADSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D., M.S.

Contact information

Practice address
100 M ST SE STE 675, WASHINGTON, DC 20003-3519
(800) 485-9196
Mailing address
100 M ST SE STE 675, WASHINGTON, DC 20003-3519
(800) 485-9196

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2000530
DC

Other

Enumeration date
09/23/2008
Last updated
10/31/2022
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