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Individual

JAN W MADISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 PLAZA DR STE 160, ROSTRAVER TOWNSHIP, PA 15012-4019
(724) 797-9550
Mailing address
1200 BROOKS LN STE 180, JEFFERSON HILLS, PA 15025-3769
(412) 469-3600
(412) 469-3630

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD043801E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001232313
PA
Enumeration date
09/21/2005
Last updated
08/30/2023
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