Doctor Name: | MR. ARTHUR EDWARD MADORE |
NPI Number: | 1063580371 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 005821200601 |
Business Practice Address: | 2100 Dorchester Ave Carney Hospital Dorchester, MA - 02124 |
Business Phone Number: | 6172967771 |
Business Fax Number: | 6172965433 |
Mailing Address: | 5 Sunnyside Ave, CANTON |
State: | MA |
Postal Code: | 02021 |
Phone Number: | 7818213605 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 005821200601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |