Provider Demographics
NPI:1851687305
Name:MADSEN, MEGAN CATHERINE (DO)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:CATHERINE
Last Name:MADSEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2 BALA PLZ STE IL27
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1508
Mailing Address - Country:US
Mailing Address - Phone:610-668-9999
Mailing Address - Fax:610-668-7188
Practice Address - Street 1:2 BALA PLZ STE IL27
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1508
Practice Address - Country:US
Practice Address - Phone:610-668-9999
Practice Address - Fax:610-668-7188
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT013919207Q00000X
PAOS016275207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine