Madison, John Mark

Madison, John Mark is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Pulmonary Medicine, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Madison, John Mark can be contacted via phone (508) 856-6938.

Contact Information

Primary practice address
55 Lake Ave N Department Of Pulmonary Medicine Worcester MA 01655-0002
Phone: (508) 856-6938
Fax: (508) 856-3999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 72090 Massachusetts

Profile Details

NPI number 1821070244
LBN Legal business name Madison, John Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2005
Last updated Nov 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821070244 NPPES
Massachusetts MEDICAID 3057275

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