Provider Demographics
NPI:1891853370
Name:CARAMANNA, MARGARET M
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:M
Last Name:CARAMANNA
Suffix:
Gender:F
Credentials:
Other - Prefix:MR
Other - First Name:VINCENT
Other - Middle Name:A
Other - Last Name:CARAMANNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2250 SOUTH 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-3143
Mailing Address - Country:US
Mailing Address - Phone:215-334-9922
Mailing Address - Fax:215-336-6867
Practice Address - Street 1:2250 SOUTH 9TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3143
Practice Address - Country:US
Practice Address - Phone:215-334-9922
Practice Address - Fax:215-336-6867
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1185507332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015878190002Medicaid
PA0015878190002Medicaid