Individual
DR. MARIA D MADONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
176 BROADWAY, PATERSON, NJ 07505-1115
(973) 321-1277
Mailing address
176 BROADWAY, PATERSON, NJ 07505-1115
(973) 321-1277
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
039756
NY
1223D0001X
Public Health Dentistry
Primary
22DI02148700
NJ
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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