Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 04145 | NH |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 150742 | NC |
NPI | 1649408584 |
---|---|
Provider Name | Dr. Rachel N Madden |
First Address | Nashua, NH 03060-3046 |
Second Address | Nashua, NH 03060-3046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 26/03/2019 |