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Individual

DR. ROBERT L MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
134 CAPITAL DR STE B, WEST SPRINGFIELD, MA 01089-1349
(413) 747-1817
(413) 747-6120
Mailing address
PO BOX 366, LUDLOW, MA 01056-0366
(413) 733-0010
(413) 930-2108

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
75716
MA
208600000X
Surgery Physician
Primary
75716
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3093832
MA
Enumeration date
10/28/2005
Last updated
04/16/2024
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