Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DANIEL ALEXANDER MADDOCK, PA-C
Active Sole ProprietorMR. DANIEL ALEXANDER MADDOCK, PA-C is a Medical Physician Assistant healthcare provider located in ROSELAND, New Jersey. NPI 1073077939 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ROSELAND, NJ
Registration Details
- NPI Number
- 1073077939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2019 (7.5996040499375 yrs)
- Last Updated
- May 10, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
189 EAGLE ROCK AVEROSELAND, NJ, 070681347Browse NJ providers · Browse ZIP 07068
- Phone
- 9732263359
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.