Provider Demographics
NPI:1013968932
Name:MARGULIES, JERRY (DO)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:
Last Name:MARGULIES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1057 SECOND STREET PIKE
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1803
Practice Address - Country:US
Practice Address - Phone:215-710-2770
Practice Address - Fax:215-710-2772
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004706L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4380182OtherAETNA
PA1212589OtherCIGNA PA
PA30148342OtherKEYSTONE FIRST
PAP01167641OtherRAILROAD MEDICARE
PA29687OtherHEALTH PARTNERS
PA412029OtherHIGHMARK BLUE SHIELD
PA0014931220005Medicaid
PA0022564000OtherKEYSTONE IBC
NJ233087605OtherHORIZON
PA29687OtherHEALTH PARTNERS
PA412029R52Medicare PIN