Physician Compare National (NPI:1740367408)

HEALTHCARE PROVIDER: WARREN ARTHUR MADDOX JR. DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1740367408
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779752092
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110803000135
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MADDOX
	Individual professional last name
Provider First Name	WARREN
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NATIONAL COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	25 NASHUA RD
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT A5
	Group Practice or individual's line 2 address
City	LONDONDERRY
	Group Practice or individual's city
State	NH
	Group Practice or individual's state
Zip Code	030533446
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6034371700
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y