Provider Demographics
NPI:1770686636
Name:MADSEN, JAMES MALCOLM (MD, MPH, FCAP, FACOE)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MALCOLM
Last Name:MADSEN
Suffix:
Gender:M
Credentials:MD, MPH, FCAP, FACOE
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Mailing Address - Street 1:527 INGLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-2005
Mailing Address - Country:US
Mailing Address - Phone:410-836-8754
Mailing Address - Fax:410-436-3086
Practice Address - Street 1:3100 RICKETTS POINT RD
Practice Address - Street 2:USAMRICD, ATTN: MCMR-CDM (COL MADSEN)
Practice Address - City:GUNPOWDER
Practice Address - State:MD
Practice Address - Zip Code:21010-5400
Practice Address - Country:US
Practice Address - Phone:410-436-2230
Practice Address - Fax:410-436-3086
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT177428-1205207ZP0102X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine