Healthcare Provider Details

I. General information

NPI: 1316443641
Provider Name (Legal Business Name): MADELEINE STREIT HIGGINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADELEINE STREIT HIGGINS MD

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 WASHINGTON ST STE 2700
TAUNTON MA
02780-2498
US

IV. Provider business mailing address

72 WASHINGTON ST STE 2700
TAUNTON MA
02780-2498
US

V. Phone/Fax

Practice location:
  • Phone: 508-824-4535
  • Fax:
Mailing address:
  • Phone: 508-824-4535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2023-02391
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1020838
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: