Provider Demographics
NPI:1750004750
Name:MARGULIES, JUDITH
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:MARGULIES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:STASKIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:391 WILMINGTON PIKE # 206
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1233
Mailing Address - Country:US
Mailing Address - Phone:610-358-1465
Mailing Address - Fax:
Practice Address - Street 1:391 WILMINGTON PIKE # 206
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1233
Practice Address - Country:US
Practice Address - Phone:610-358-1465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA456576183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist