Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 01581 | MD |
N | 222Z00000X | Podiatrist | 01581 | MD |
Y | 213E00000X | Podiatrist | SC006296 | PA |
Y | 222Z00000X | Podiatrist | SC006296 | PA |
N | 213ES0103X | Foot & Ankle Surgery | SC006296 | PA |
NPI | 1093000309 |
---|---|
Provider Name | Dr. Caitlin Madden |
First Address | Newtown Square, PA 19073-4226 |
Second Address | Newtown Square, PA 19073-4226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2011 |
Last Update Date | 14/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0950645 00 | (05) | MD |