Individual
MR. RICHARD MADONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 HOLLAND AVE, BRADDOCK, PA 15104-1599
(412) 636-5167
Mailing address
428 JACKSON DR, APOLLO, PA 15613-1715
(724) 733-0060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN189738L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29183
NATIONAL CRNA #
—
01
—
RN189738L
RN LICENCE
PA
Enumeration date
08/03/2006
Last updated
07/08/2007
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