Individual
TIMOTHY MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 PINE GROVE AVE, KINGSTON, NY 12401-5407
(845) 340-4500
(845) 340-4501
Mailing address
45 PINE GROVE AVE, KINGSTON, NY 12401-5407
(845) 340-4500
(845) 340-4501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
279192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04181435
—
NY
Enumeration date
06/11/2009
Last updated
05/22/2018
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