Provider Demographics
NPI:1235103631
Name:MARTIN, MARGARET LEFFLER (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:LEFFLER
Last Name:MARTIN
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 1:317 E 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:TARENTUM
Mailing Address - State:PA
Mailing Address - Zip Code:15084-1831
Mailing Address - Country:US
Mailing Address - Phone:724-226-2900
Mailing Address - Fax:724-226-3435
Practice Address - Street 1:317 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:TARENTUM
Practice Address - State:PA
Practice Address - Zip Code:15084-1831
Practice Address - Country:US
Practice Address - Phone:724-226-2900
Practice Address - Fax:724-226-3435
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422579207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100848280Medicaid
PAP00077686Medicare PIN
PA073000Medicare PIN
PA100848280Medicaid
PACG1496Medicare PIN