Madrigal, Vanessa N.

Madrigal, Vanessa N. is an individual health care provider with primary practice located at 34Th Street & Civic Center Blvd Suite 9329, Philadelphia PA 19104-4399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Madrigal, Vanessa N. can be contacted via phone (215) 590-1858.

Contact Information

Primary practice address
34Th Street & Civic Center Blvd Suite 9329 Philadelphia PA 19104-4399
Fax: (215) 590-3934
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD430803 Pennsylvania

Profile Details

NPI number 1194915330
LBN Legal business name Madrigal, Vanessa N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Apr 10th, 2013 - about 11 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 1194915330 NPPES
Pennsylvania MEDICAID 1024895660001
Pennsylvania Other 191470EMD

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