Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 305959 | NY |
NPI | 1053923441 |
---|---|
Provider Name | Dr. Norman Madsen |
First Address | Rochester, NY 14642 |
Second Address | Rochester, NY 14620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2020 |
Last Update Date | 20/08/2020 |