Eufronio G Maderazo, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

016782 Issued in CT

Practice address

330 Washington St
Eastern CT Hematology & Oncology Suite 220
Norwich, CT 06360-2700

Phone

(860) 886-8362

Fax

(860) 886-9262

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639156151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "address_2": "EASTERN CT HEMATOLOGY & ONCOLOGY SUITE 220",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-886-8362",
            "fax_number": "860-886-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "address_2": "EASTERN CT HEMATOLOGY & ONCOLOGY SUITE 220",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-886-8362",
            "fax_number": "860-886-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERAZO",
        "first_name": "EUFRONIO",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "016782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V5816",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010016782CT03",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Macadie, LCSW
• Susan Ford Macduff, MA MFT
• Jennifer Macgregor, LPC
• Kimberly Machi, LCSW
• Gregory Paul Mackay, APRN
• Michael James Magaldi, LCSW
• Jennifer Riley Maier-Gerst, LPC
• Tabatha Ann Maiorano, LCSW
• Destiny Maldonado Carter
• Lisa A Maloney, LMFT

• Infectious Disease Physician in Norwich, CT
• Providers in Norwich, CT by specialty
• Infectious Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.