Individual
MR. ROBERT LOUIS MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 MAPLE ST STE 3, BIG FLATS, NY 14814-9702
(607) 321-0265
(607) 321-0269
Mailing address
33 LEWIS RD, FL @, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
177308
NY
208VP0000X
Pain Medicine Physician
177308
NY
208VP0014X
Interventional Pain Medicine Physician
177308
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01291872
—
NY
Enumeration date
06/06/2006
Last updated
08/01/2022
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