Provider Demographics
NPI:1811965478
Name:MADOFF, DAVID H (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:MADOFF
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:515 FAIRMOUNT AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5466
Mailing Address - Country:US
Mailing Address - Phone:410-494-1324
Mailing Address - Fax:410-494-1361
Practice Address - Street 1:1838 GREENE TREE RD
Practice Address - Street 2:SUITE 225A
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-6391
Practice Address - Country:US
Practice Address - Phone:410-486-0497
Practice Address - Fax:410-486-4277
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD31419207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD396361600Medicaid
B69615Medicare UPIN
MDH5960335Medicare PIN
MD396361600Medicaid
156539ZR0ZMedicare PIN