Individual
MADELIENE STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/PHD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1020203
MA
207N00000X
Dermatology Physician
D0098042
MD
207N00000X
Dermatology Physician
D98042
MD
207R00000X
Internal Medicine Physician
R-11555
IA
Other
Enumeration date
05/28/2019
Last updated
06/11/2026
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