Provider Demographics
NPI:1750333472
Name:MARGILOFF, LINDA ROCHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ROCHELLE
Last Name:MARGILOFF
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 1:9 PARK VALE APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6284
Mailing Address - Country:US
Mailing Address - Phone:617-306-6994
Mailing Address - Fax:617-738-0589
Practice Address - Street 1:9 PARK VALE APT 2
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6284
Practice Address - Country:US
Practice Address - Phone:617-306-6994
Practice Address - Fax:617-738-0589
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155148207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH25070Medicare UPIN
MAH25070Medicare UPIN