Provider Demographics
NPI:1457134884
Name:MAJEWSKI, MADISON H
Entity Type:Individual
Prefix:MISS
First Name:MADISON
Middle Name:H
Last Name:MAJEWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 GLENVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-3333
Mailing Address - Country:US
Mailing Address - Phone:774-328-5122
Mailing Address - Fax:
Practice Address - Street 1:117 GLENVILLE AVE
Practice Address - Street 2:
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-3333
Practice Address - Country:US
Practice Address - Phone:774-328-5122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant