Provider Demographics
NPI:1629128749
Name:MARGOLIS, STEVEN F (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:F
Last Name:MARGOLIS
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 1:128 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2539
Mailing Address - Country:US
Mailing Address - Phone:978-369-6762
Mailing Address - Fax:
Practice Address - Street 1:242 BAKER AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2127
Practice Address - Country:US
Practice Address - Phone:978-369-6762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54513208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery