Individual
ASHLEY MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
92 E MAIN ST STE 201, SOMERVILLE, NJ 08876-2319
(908) 680-0684
Mailing address
33 W END AVE APT 21A, NEW YORK, NY 10023-7824
(631) 258-9631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00835100
NJ
363AS0400X
Surgical Physician Assistant
014288
NY
Other
Enumeration date
12/16/2010
Last updated
05/08/2024
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