Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | D45754 | MD |
N | 208000000X | Pediatrician | MD20650 | DC |
NPI | 1003891904 |
---|---|
Provider Name | Dr. Robin Madden |
First Address | Silver Spring, MD 20902-5006 |
Second Address | Silver Spring, MD 20902-5006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 08/07/2007 |