Provider Demographics
NPI:1396042693
Name:DELLENBAUGH, MARGARET RAMSDELL (LMT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:RAMSDELL
Last Name:DELLENBAUGH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:MEG
Other - Middle Name:
Other - Last Name:DELLENBAUGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:308 W 30TH ST
Mailing Address - Street 2:APT 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2707
Mailing Address - Country:US
Mailing Address - Phone:207-729-6558
Mailing Address - Fax:
Practice Address - Street 1:308 W 30TH ST
Practice Address - Street 2:APT 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2707
Practice Address - Country:US
Practice Address - Phone:207-729-6558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMT1017174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist