Individual
DR. SCOTT LAWRENCE MADDALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 W 34TH ST RM 402A, NEW YORK, NY 10001-0659
(646) 725-4600
Mailing address
1 W 34TH ST RM 402A, NEW YORK, NY 10001-0659
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
289057
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
69795
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2014
Last updated
11/26/2024
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