Individual
MADISON OBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 WINDHAM CT, NEWTOWN, PA 18940-1750
(267) 403-1849
Mailing address
123 WINDHAM CT, NEWTOWN, PA 18940-1750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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