Individual
DR. ANTHONY V MADDALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 SAW MILL RIVER RD, STE 206, HAWTHORNE, NY 10532-1541
(914) 631-7777
(914) 631-0920
Mailing address
24 SAW MILL RIVER RD, STE 206, HAWTHORNE, NY 10532-1541
(914) 631-7777
(914) 631-0920
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
152084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
964470
—
NY
Enumeration date
07/10/2006
Last updated
07/08/2007
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