Provider Demographics
NPI:1477816528
Name:MCDONALD, MARGARITA ELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:ELENA
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:809 EASTON RD
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-2004
Mailing Address - Country:US
Mailing Address - Phone:215-392-9911
Mailing Address - Fax:215-392-9913
Practice Address - Street 1:8 E MILL RD
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-2027
Practice Address - Country:US
Practice Address - Phone:215-392-9911
Practice Address - Fax:714-276-2677
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433576207Q00000X, 207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6482143OtherAETNA PIN
PA103012741Medicaid