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NPI Code Detail

MEDICARE: MADALYNN PLANTY PA-C

MEDICARE:   MADALYNN  PLANTY  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantMA

General Provider Information

NPI Number : 1366375370
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADALYNN PLANTY PA-C
Provider Business Mailing Address
First Line : 100 ONEIL BLVD STE 2
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-4298
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 ONEIL BLVD STE 2
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-4298
Country : US
Telephone Number : 508-342-1103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ MADALYNN PLANTY PA-C” Practice Location

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