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Individual

MICHAEL P MADAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 PLEASANT STREET, CAPITAL REGION FAMILY, CONCORD, NH 03301
(603) 228-7200
(603) 228-7307
Mailing address
250 PLEASANT STREET, CAPITAL REGION FAMILY, CONCORD, NH 03301
(603) 228-7200
(603) 228-7307

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13596
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01YP12076NH01
ANTHEM
NH
05
1018111
VT
01
22-2594672
UNITED HEALTHCARE
NH
05
30206977
NH
05
3073313
NH
01
4158828
MRP
NH
01
4906674
CIGNA
NH
01
G35240
HARVARE PILGRIM
NH
Enumeration date
10/20/2005
Last updated
07/15/2013
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