NPI 1194942078

Ian Madom, MD

Practitioner Orthopaedic Surgery Physician Wakefield, RI

Practice location

Address: 1 High St, Wakefield, RI 02879
Phone: (401) 789-1422
Fax: (401) 782-6810
Mailing address: 1 High St, Wakefield, RI 02879-3103

Registered specialties (4)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence MD12744 (RI)

Other Orthopaedic Surgery providers in Rhode Island →

Orthopaedic Surgery of the Spine Physician

Allopathic & Osteopathic Physicians Taxonomy 207XS0117X Licence 256162 (NY)

Orthopaedic Trauma Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0801X Licence 256162 (NY)

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence LP00165 (RI)

Registry record

NPI: 1194942078
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2007
Record last updated: 22 May 2018

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.