NPI 1093444796

Ian Thomas Madison, DO

Practitioner Urology Physician Bryn Mawr, PA

Practice location

Address: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121
Phone: (484) 337-3000

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence OT021449 (PA)

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Registry record

NPI: 1093444796
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2022
Record last updated: 8 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.