1225829864 NPI number — MADELAINE ROSE MAI LING COLDEN LEUNG M.D./PH.D.

Table of content: MADELAINE ROSE MAI LING COLDEN LEUNG M.D./PH.D. (NPI 1225829864)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225829864 NPI number — MADELAINE ROSE MAI LING COLDEN LEUNG M.D./PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEUNG
Provider First Name:
MADELAINE
Provider Middle Name:
ROSE MAI LING COLDEN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D./PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COLDEN
Provider Other First Name:
MADELAINE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D./PH.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1225829864
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
189 VALLEY VIEW CRES
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT JOHN
Provider Business Mailing Address State Name:
NEW BRUNSWICK
Provider Business Mailing Address Postal Code:
E2M4L4
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
736 CAMBRIDGE STREET
Provider Second Line Business Practice Location Address:
DEPARTMENT OF CARDIOLOGY ST ELIZABETHS MEDICAL CENTER
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
289-244-3295
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/14/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)