Individual
RAMIRO JOSE MADDEN-FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18003
NH
208800000X
Urology Physician
2016-00956
NC
Other
Enumeration date
04/21/2010
Last updated
07/10/2020
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