Provider Demographics
NPI:1902011505
Name:VAN REMOORTERE, MARGUERITE EMILIE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGUERITE
Middle Name:EMILIE
Last Name:VAN REMOORTERE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4660 PALM AVENUE
Mailing Address - Street 2:BLDG A SCPMG
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154
Mailing Address - Country:US
Mailing Address - Phone:619-662-5000
Mailing Address - Fax:619-662-5375
Practice Address - Street 1:4660 PALM AVENUE
Practice Address - Street 2:BLDG A SCPMG
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154
Practice Address - Country:US
Practice Address - Phone:619-662-5395
Practice Address - Fax:619-662-5375
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG-389592084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry