Individual
DR. EMMANUEL C MADUAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-8515
(508) 334-6490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
222609
MA
208M00000X
Hospitalist Physician
Primary
222609
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2088240
—
MA
Enumeration date
11/16/2005
Last updated
01/26/2023
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