Individual
MADISON FUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(215) 590-2730
Mailing address
1002 S 19TH ST UNIT B, PHILADELPHIA, PA 19146-2607
(610) 573-0301
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP029048
PA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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