Provider Demographics
NPI:1710108014
Name:MARGOLIS, GERALD JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:JOSEPH
Last Name:MARGOLIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:ONE MALL DRIVE
Mailing Address - Street 2:SUITE 930
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002
Mailing Address - Country:US
Mailing Address - Phone:856-667-1055
Mailing Address - Fax:856-234-7477
Practice Address - Street 1:ONE MALL DRIVE
Practice Address - Street 2:SUITE 930
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002
Practice Address - Country:US
Practice Address - Phone:856-667-1055
Practice Address - Fax:856-234-7477
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA021760002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry