Provider Demographics
NPI:1053923441
Name:MADSEN, NORMAN (BMBS)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:MADSEN
Suffix:
Gender:M
Credentials:BMBS
Other - Prefix:
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Mailing Address - Street 1:601 ELMWOOD AVENUE, BOX 695
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:582-273-3395
Mailing Address - Fax:585-442-3214
Practice Address - Street 1:125 LATTIMORE RD
Practice Address - Street 2:SUITE G-110
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620
Practice Address - Country:US
Practice Address - Phone:585-486-0901
Practice Address - Fax:585-340-5399
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY305959207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology