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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN MADOM, MD

Active

IAN MADOM, MD is a Orthopaedic Surgery healthcare provider located in WAKEFIELD, Rhode Island. NPI 1194942078 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · WAKEFIELD, RI

Registration Details

NPI Number
1194942078
Provider Type
Individual
Gender
Male
NPI Issued
Apr 20, 2007 (19.291965435015 yrs)
Last Updated
May 22, 2018
Licenses
256162 (NY)
256162 (NY)
MD12744 (RI)
LP00165 (RI)

Practice Information

Address
1 HIGH ST
WAKEFIELD, RI, 02879
Browse RI providers · Browse ZIP 02879
Phone
4017891422
Fax
4017826810
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Trauma
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in WAKEFIELD, RI

Name Credential NPI
MARK A COPPES MD 1275597668
ROBERT C MARCHAND MD 1881658896
DAVID B BURNS DO 1306800313
MICHAEL PATRICK BRADLEY M.D. 1083668883
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.