Provider Demographics
NPI:1528369162
Name:ESTLOW, MARGARET MARY (PNP-BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:ESTLOW
Suffix:
Gender:F
Credentials:PNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 PRINCETON PIKE
Mailing Address - Street 2:BLDG 5 SUITE 218
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648
Mailing Address - Country:US
Mailing Address - Phone:609-815-7296
Mailing Address - Fax:609-815-7178
Practice Address - Street 1:2133 STATE HIGHWAY 33
Practice Address - Street 2:LEXINGTON SQUARE COMMONS
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-1740
Practice Address - Country:US
Practice Address - Phone:609-581-5100
Practice Address - Fax:609-581-5134
Is Sole Proprietor?:No
Enumeration Date:2010-11-13
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08807900363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223537011OtherADVOCARE GARDEN STATE PEDIATRIC & ADOLESCENT MEDICINE