Provider Demographics
NPI:1316443641
Name:HIGGINS, MADELEINE STREIT (MD)
Entity type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:STREIT
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MADELEINE
Other - Middle Name:STREIT
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:72 WASHINGTON ST STE 2700
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2498
Mailing Address - Country:US
Mailing Address - Phone:508-824-4535
Mailing Address - Fax:
Practice Address - Street 1:72 WASHINGTON ST STE 2700
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2498
Practice Address - Country:US
Practice Address - Phone:508-824-4535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-02391208600000X
NY390200000X
MA1020838208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program