person
Mary Beth Madonna, MD
Pediatric Surgery Physician in San Antonio, Texas
NPI 1265427108

Mary Beth Madonna is a Pediatric Surgery Physician based in San Antonio, TX and is specialized in Pediatric Surgery. Mary Beth Madonna practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Mary Beth Madonna is 1265427108 and holds a License No. 036-083049 (Texas).

The current practice location address for Mary Beth Madonna is 333 N Santa Rosa, San Antonio, TX and can be reached out via phone at 210-704-4100.

Location: 333 N Santa Rosa, San Antonio, TX, 78207-3108
person
Provider Profile Details
NPI Number
1265427108
Provider Name
Mary Beth Madonna
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
333 N Santa Rosa, San Antonio, TX, 78207-3108
Phone Number
210-704-4100
Fax Number
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036083049 05 IL
1627123 01 IL BCBS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
333 N Santa Rosa
City
State
Zip
78207-3108
Phone Number
210-704-4100
Fax Number
person
Provider Business Mailing Address Details
Address
333 N Santa Rosa
City
State
Zip
78207-3108
Phone Number
210-704-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
036-083049 (Illinois)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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