Individual
DR. JONATHAN SEAN MADONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-6671
Mailing address
4418 WILCOT DR, MIDLOTHIAN, VA 23113-3640
(732) 674-8259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA12521000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
05/28/2025
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