Madom, Ian

Madom, Ian is an individual health care provider with primary practice located at 1 High St , Wakefield RI 02879. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Madom, Ian can be contacted via phone (401) 789-1422.

Contact Information

Primary practice address
1 High St Wakefield RI 02879
Phone: (401) 789-1422
Fax: (401) 782-6810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 256162 New York
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 256162 New York
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD12744 Rhode Island
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X LP00165 Rhode Island

Profile Details

NPI number 1194942078
LBN Legal business name Madom, Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated May 22nd, 2018 - about 6 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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