Individual
DR. ERIC M MADREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 GLENN MITCHELL DR, STE 100, VIRGINIA BEACH, VA 23456-0170
(757) 689-8430
(757) 689-8435
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101053640
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005620821
—
VA
Enumeration date
02/21/2006
Last updated
04/12/2010
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