Organization
MADISON PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG M. ALEXANDER D.O. (PRESIDENT)
(740) 845-7720
Entity
Organization
Contact information
Practice address
55 PARK AVE., SUITE 210, LONDON, OH 43140-1121
(740) 845-7720
(740) 845-7721
Mailing address
55 PARK AVE., SUITE 210, LONDON, OH 43140-1121
(740) 845-7720
(740) 845-7721
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34005421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026971
—
OH
Enumeration date
02/13/2007
Last updated
07/14/2007
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