Individual
DR. JOREN CHRISTIAN MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DPHL
Contact information
Practice address
55 FRUIT ST, BUL 119, BOSTON, MA 02114-2621
(617) 724-1130
(617) 726-1821
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 643-4808
(617) 643-4582
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
72269
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
72269
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072269
TUFTS HEALTH PLAN
MA
05
—
3108244
—
MA
01
—
J13389
BCBS MA
MA
Enumeration date
11/23/2005
Last updated
07/19/2012
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