Individual
DAVID CRAIG MADOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK STREET, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06520
(203) 688-1010
Mailing address
330 CEDAR ST DEPT OF, NEW HAVEN, CT 06510-3218
(203) 785-5253
(203) 785-3024
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
63593
CT
2085R0204X
Vascular & Interventional Radiology Physician
211258
NY
2085R0204X
Vascular & Interventional Radiology Physician
L1121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03296366
—
NY
05
—
144853201
—
TX
Enumeration date
09/27/2006
Last updated
07/12/2019
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