Madrinan, Nestor O.

Madrinan, Nestor O. is an individual health care provider with primary practice located at 452 W Allegheny Ave , Philadelphia PA 19133-3639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Madrinan, Nestor O. can be contacted via phone (215) 291-2500.

Contact Information

Primary practice address
452 W Allegheny Ave Philadelphia PA 19133-3639
Fax: (215) 291-2587
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MD029629E Pennsylvania

Profile Details

NPI number 1013990928
LBN Legal business name Madrinan, Nestor O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1013990928 NPPES
Pennsylvania MEDICAID 01009646-01

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