Individual
DR. PHILIP G MADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FRCR
Contact information
Practice address
450 TOLL GATE RD, WARWICK, RI 02886-2715
(401) 732-2300
(401) 738-3450
Mailing address
450 TOLL GATE RD, WARWICK, RI 02886-2715
(401) 732-2300
(401) 738-3450
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD06159
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000354
—
RI
Enumeration date
01/26/2007
Last updated
07/09/2007
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