Individual
DR. SALLIE P MADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 JEFFREY AVE, HOLLISTON, MA 01746-2028
(508) 429-2800
Mailing address
100 JEFFERY AVE, HOLLISTION, MA 01746
(508) 429-2800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
72178
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
J10174
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066980
—
MA
Enumeration date
05/15/2006
Last updated
12/22/2016
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