Individual
MICHAEL T MADORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9002 LINCOLN DR W STE B, MARLTON, NJ 08053-3204
(856) 985-3336
(856) 985-5615
Mailing address
9002 LINCOLN DR W STE B, MARLTON, NJ 08053-3204
(856) 985-3336
(856) 985-5615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05871
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147939000
AMERIHELATH ID#
NJ
01
—
3181995
AETNA
NJ
01
—
721558741
HORIZON
NJ
01
—
MC05871
NJ STATE LICENSE
NJ
01
—
P00030803
RAILRAOD MEDICARE
NJ
Enumeration date
07/25/2006
Last updated
10/22/2012
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