Provider Demographics
NPI:1588621544
Name:GOLDAR, MARGARITA MARIA (MD)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:MARIA
Last Name:GOLDAR
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 1:113 TRAIL ONE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5531
Mailing Address - Country:US
Mailing Address - Phone:336-570-0354
Mailing Address - Fax:336-570-0356
Practice Address - Street 1:113 TRAIL ONE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5531
Practice Address - Country:US
Practice Address - Phone:336-570-0354
Practice Address - Fax:336-570-0356
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400119208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89137W6Medicaid
NC89137W6Medicaid
H33493Medicare UPIN