Individual provider · Type 1 NPI

Irvin R. Maduro, MD

Pediatric Optometrist · Temple Hills, MD

NPI number 1417018946 Active

Practice location

6014 Old Branch Ave, Kaiser Permanente Camp Springs Medical Center
Temple Hills, MD 20748-2518

Fax (301) 702-6366

Mailing address

2101 E Jefferson St Ppqa Medicare Compliance Unit 6 W, Kaiser Permanente Mid Atlantic Permanente Medical Group
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Pediatric Optometrist 152WP0200XMD22166 (DC)
Pediatric Optometrist Primary 152WP0200XD0038713 (MD)

Pediatric Optometrist: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

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About NPI 1417018946

Irvin R. Maduro, MD's National Provider Identifier is 1417018946, issued on Dec 12, 2006. The primary taxonomy on file is Pediatric Optometrist (152WP0200X), and the practice location is in Temple Hills, MD. The record was last updated on Jan 7, 2022.