Provider Demographics
NPI:1215565643
Name:HART, MARGARET LEIGH INNERS (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LEIGH INNERS
Last Name:HART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 MONTVALE AVE STE 4100
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3636
Mailing Address - Country:US
Mailing Address - Phone:781-832-2530
Mailing Address - Fax:
Practice Address - Street 1:92 MONTVALE AVE STE 4100
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3636
Practice Address - Country:US
Practice Address - Phone:781-832-2530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2024-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1014041208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics