Individual
THOMAS J MADDALONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2010 OLD WEST CHESTER PIKE, STE 330, HAVERTOWN, PA 19083-2712
(610) 789-8070
(610) 789-9937
Mailing address
PO BOX 1250, HAVERTOWN, PA 19083-5850
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN201463L
PA
Other
Enumeration date
10/07/2005
Last updated
09/11/2014
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