Individual
JOHN L MADDOX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SALEM ST, WILMINGTON, MA 01887-1200
(978) 988-6209
(978) 988-6139
Mailing address
122 LAKEVIEW AVE, HAVERHILL, MA 01830-2716
(978) 988-6209
(978) 988-6139
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
211906
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149110
—
MA
Enumeration date
11/03/2005
Last updated
07/08/2007
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