Provider Demographics
NPI:1710995642
Name:MARGOLIS, RUTH G (DC)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:G
Last Name:MARGOLIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 ALPIN DRIVE
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1602
Mailing Address - Country:US
Mailing Address - Phone:215-658-0608
Mailing Address - Fax:215-658-0609
Practice Address - Street 1:3102 ALPIN DRIVE
Practice Address - Street 2:
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025-1602
Practice Address - Country:US
Practice Address - Phone:215-658-0608
Practice Address - Fax:215-658-0609
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003386L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T30676Medicare UPIN