Provider Demographics
NPI:1427195767
Name:MARGULIES, ALFRED S (MD)
Entity Type:Individual
Prefix:
First Name:ALFRED
Middle Name:S
Last Name:MARGULIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BONMAR CIR
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-2708
Mailing Address - Country:US
Mailing Address - Phone:617-244-0915
Mailing Address - Fax:
Practice Address - Street 1:10 BONMAR CIR
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-2708
Practice Address - Country:US
Practice Address - Phone:617-244-0915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA381442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry