Doctor Name: | MEGAN MADARA |
NPI Number: | 1073858304 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC |
License Number: | 26NJ00405300 |
Business Practice Address: | 850 N Wood Ave Linden, NJ - 070364038 |
Business Phone Number: | 9089259309 |
Business Fax Number: | 9089257910 |
Mailing Address: | 28 Bradwahl Dr, MORRISTOWN |
State: | NJ |
Postal Code: | 079606131 |
Phone Number: | 2014078033 |
Fax Number: | 9089257910 |
NPI Enumeration Date: | 11/27/2012 |
NPI Last Update Date: | 11/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00405300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |