Individual
MICHAEL MAIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO-PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3001 SEDGEVIEW WALK UNIT 147, PHILADELPHIA, PA 19125-4361
(248) 797-7016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5151014445
MI
Other
Enumeration date
05/27/2020
Last updated
06/06/2023
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