Provider Demographics
NPI:1659392413
Name:HURLEY, MARGARET L (DO)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:L
Last Name:HURLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08098-1308
Mailing Address - Country:US
Mailing Address - Phone:856-769-8088
Mailing Address - Fax:856-769-8291
Practice Address - Street 1:303 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08098-1308
Practice Address - Country:US
Practice Address - Phone:856-769-7737
Practice Address - Fax:856-769-8291
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMR05534600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
716906Medicare ID - Type Unspecified
F21901Medicare UPIN