Healthcare Provider Details

I. General information

NPI: 1457134884
Provider Name (Legal Business Name): MISS MADISON H MAJEWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 DODGE ST
BEVERLY MA
01915-1705
US

IV. Provider business mailing address

585 LEBANON ST
MELROSE MA
02176-3225
US

V. Phone/Fax

Practice location:
  • Phone: 781-328-6542
  • Fax:
Mailing address:
  • Phone: 781-979-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA101093
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: