Provider Demographics
NPI:1952468803
Name:MARGULIS, ELYNNE B (MD)
Entity Type:Individual
Prefix:DR
First Name:ELYNNE
Middle Name:B
Last Name:MARGULIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:522 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2116
Mailing Address - Country:US
Mailing Address - Phone:908-232-2639
Mailing Address - Fax:908-232-3575
Practice Address - Street 1:522 E BROAD ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2116
Practice Address - Country:US
Practice Address - Phone:908-232-2639
Practice Address - Fax:908-232-3575
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05262700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJB79585Medicare UPIN