Madison Medical P.c

NPI #1063463545 in Hamtramck, Michigan

Provider Information

NPI Number: 1063463545
Entity Type: Organization
Organization Name: Madison Medical P.c
Primary Specialty: Specialist
Enumeration Date: May 12, 2006
Last Updated: Mar 24, 2009

Practice Location

Address: 3120 CARPENTER ST
City: Hamtramck
State: Michigan
ZIP Code: 48212-9802
Phone: (313) 369-3379

Authorized Official

Name: MR. TUSHAR TRIPATHI
Title: SUPERVISOR
Phone: (313) 369-3379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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