Ian Madom

NPI 1194942078 - Orthopaedic Surgery - 207XS0117X

NPI Details
NPI 1194942078
Gender Male
Enumeration Date 04/20/2007
Last Updated 09/09/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
6620 FLY RD
STE 200
EAST SYRACUSE NY, 13057-9717, US
Phone (315) 464-4472
Fax (315) 464-5229
Business Location
6620 FLY RD
STE 200
EAST SYRACUSE NY, 13057-9717, US
Phone (315) 464-4472
Fax (315) 464-5229
Toxanomy
Taxonomy Code 207XS0117X
License State New York
License Number 256162
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According to our database, Ian Madom NPI is 1194942078, taxonomy code is 207XS0117X and license number is 256162, license state is located at New York. Ian Madom physically located at 6620 Fly Rd, East Syracuse NY, 13057-9717. NPI Number Ian Madom has the Individual type.

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1194942078 NPI number is provided on an as is basis without warranty of any kind. 1194942078 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Madom are for informational purposes only.