Lissette P.g. Maduro M.D.

NPI 1073533501 - Family Medicine - 207Q00000X

NPI Details
NPI 1073533501
Gender Female
Enumeration Date 07/20/2006
Last Updated 02/10/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
102 CESTRAIN SQ
CHESTER SC, 29706-1978, US
Phone (803) 581-0574
Fax (803) 581-5898
Business Location
102 CESTRAIN SQ
CHESTER SC, 29706-1978, US
Phone (803) 581-0574
Fax (803) 581-5898
Toxanomy
Taxonomy Code 207Q00000X
License State South Carolina
License Number 29144
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According to our database, Dr. Lissette P.g. Maduro M.D. NPI is 1073533501, taxonomy code is 207Q00000X and license number is 29144, license state is located at South Carolina. Lissette P.g. Maduro M.D. physically located at 102 Cestrain Sq, Chester SC, 29706-1978. NPI Number Lissette P.g. Maduro M.D. has the Individual type.

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1073533501 NPI number is provided on an as is basis without warranty of any kind. 1073533501 is maintained by the National Plan & Provider Enumeration System. The contents of Lissette P.g. Maduro M.D. are for informational purposes only.