ALEX B MADERAZO

FPA HOSPITAL BASED

Dr ALEX B MADERAZO is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2001 from University Of Connecticut School Of Medicine.

Contact

FPA HOSPITAL BASED

1176 5TH AVE
NEW YORK
NY
100296503

Tel: 2122418395

ALEX B MADERAZO Information

Npi 1508085523
Pac Id 3274624481
Professional Enrollment Id I20070802000105
Last Name MADERAZO
First Name ALEX
Middle Name B
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year 2001
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FPA HOSPITAL BASED
Group Practice Pac Id 4789826694
Number Of Group Practice Members 375
Line 1 Street Address 1176 5TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NEW YORK
State NY
Zip Code 100296503
Phone Number 2122418395
Hospital Affiliation Ccn 1 330024
Hospital Affiliation Lbn 1 MOUNT SINAI HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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