Individual
DR. DAVID AUDOEN MADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
297 PROMENADE ST, PROVIDENCE, RI 02908
(401) 490-6464
(401) 490-6463
Mailing address
297 PROMENADE ST, PROVIDENCE, RI 02908-5720
(401) 490-6464
(401) 490-6463
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD13247
RI
Other
Enumeration date
07/25/2008
Last updated
03/31/2021
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