Provider Demographics
NPI:1770696619
Name:MADDEN, FRANCIS PATRICK (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:PATRICK
Last Name:MADDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1111 MEADOW LANE
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-7610
Mailing Address - Country:US
Mailing Address - Phone:814-696-3048
Mailing Address - Fax:
Practice Address - Street 1:1425 SCALP AVENUE
Practice Address - Street 2:STE 29
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-2831
Practice Address - Country:US
Practice Address - Phone:814-266-8696
Practice Address - Fax:814-266-9382
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA010344E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN