MEDICARE: GABRIELLE ZOE MADSEN M.D.

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
1	207L00000X	Anesthesiology Physician	0101275431	VA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1386178911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE ZOE MADSEN M.D.

Provider Business Mailing Address
First Line	:	134 BUSINESS PARK DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6523
Country	:	US
Telephone Number	:	757-473-0055
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 GRESHAM DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23507-1904
Country	:	US
Telephone Number	:	757-388-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2017
Last Update Date	:	03/05/2026

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