Individual
NATHANIEL MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6000
Mailing address
11 HONEY LOCUST CT, LAFAYETTE HILL, PA 19444-2501
(215) 806-5613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158065613
TELEPHONE NUMBER
PA
Enumeration date
06/16/2009
Last updated
06/16/2009
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