Provider Demographics
NPI:1902180805
Name:HAGBERG, MARGARET MARY (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:HAGBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:CORSE
Other - Last Name:HAGBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1 OLD TIMBER TRL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2113
Mailing Address - Country:US
Mailing Address - Phone:412-967-0294
Mailing Address - Fax:
Practice Address - Street 1:212 9TH ST
Practice Address - Street 2:#301
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3517
Practice Address - Country:US
Practice Address - Phone:412-456-6928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA002190207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology