Madsen, Joseph Russell

Madsen, Joseph Russell is an individual health care provider with primary practice located at 300 Longwood Ave Children'S Hospital Boston, Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Madsen, Joseph Russell can be contacted via phone (617) 355-6005.

Contact Information

Primary practice address
300 Longwood Ave Children'S Hospital Boston Boston MA 02115-5724
Phone: (617) 355-6005
Fax: (617) 730-0906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 56378 Massachusetts

Profile Details

NPI number 1538149687
LBN Legal business name Madsen, Joseph Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538149687 NPPES
Massachusetts MEDICAID 3041034

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