Individual
MR. PHILIP M MADORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1191 GREENDALE AVE, NEEDHAM, MA 02492-4727
(781) 449-5200
(781) 449-5630
Mailing address
82 ROBBINS ST APT 1, WALTHAM, MA 02453-3943
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1721
MA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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