Provider Demographics
NPI:1942344635
Name:MARGULIES, DAVID M (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:MARGULIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WABAN
Mailing Address - State:MA
Mailing Address - Zip Code:02468-1616
Mailing Address - Country:US
Mailing Address - Phone:617-549-0601
Mailing Address - Fax:
Practice Address - Street 1:307 WAVERLEY OAKS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8413
Practice Address - Country:US
Practice Address - Phone:617-549-0601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA57279207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine