| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MADILYN E TOMASO | 1780264002 | 2021-04-11 |
Madilyn E Tomaso is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780264002. Registration indicates Madilyn E Tomaso is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Madilyn E Tomaso MD |
| Practice Office Address | 625 19TH ST S BIRMINGHAM, AL US |
| Practice Office Telephone | 2565514631 |
| Mailing Address | 625 19TH ST S BIRMINGHAM, AL 352331900 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |