Madsen, Joren Christian
Madsen, Joren Christian is an individual health care provider with primary practice located at 55 Fruit St Bul 119, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Madsen, Joren Christian can be contacted via phone (617) 724-1130.Contact Information
Primary practice address
55 Fruit St Bul 119
Boston MA 02114-2621
Phone: (617) 724-1130
Fax: (617) 726-1821
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 72269 | Massachusetts |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 72269 | Massachusetts |
Profile Details
NPI number | 1760465652 |
---|---|
LBN Legal business name | Madsen, Joren Christian |
Credentials | MD DPHL |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 23rd, 2005 |
Last updated | Jul 19th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760465652 | NPPES |
Massachusetts | MEDICAID | 3108244 | |
Massachusetts | Other | 072269 | |
Massachusetts | Other | J13389 |
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