Individual
DR. JOSEPH RUSSELL MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115-5724
(617) 355-6005
(617) 730-0906
Mailing address
11 BROKEN TREE RD, NEWTON, MA 02459-3415
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
56378
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3041034
—
MA
Enumeration date
01/17/2006
Last updated
07/08/2007
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