Provider Demographics
NPI:1740496058
Name:MARGOLIS, JUNE (MD)
Entity type:Individual
Prefix:DR
First Name:JUNE
Middle Name:
Last Name:MARGOLIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JUNE
Other - Middle Name:
Other - Last Name:GREENSPAN MARGOLIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:408 PARK LN
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-2000
Mailing Address - Country:US
Mailing Address - Phone:856-234-4800
Mailing Address - Fax:856-234-7477
Practice Address - Street 1:408 PARK LN
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2000
Practice Address - Country:US
Practice Address - Phone:856-234-4800
Practice Address - Fax:856-234-7477
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA017906002084P0804X, 102L00000X, 2084P0800X
PAMD027231L2084P0800X, 2084P0804X, 102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst