Provider Demographics
NPI:1770808099
Name:MARGARYAN, NOEMI (MD)
Entity type:Individual
Prefix:
First Name:NOEMI
Middle Name:
Last Name:MARGARYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5258 LINTON BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6529
Mailing Address - Country:US
Mailing Address - Phone:561-495-9292
Mailing Address - Fax:561-495-0221
Practice Address - Street 1:5258 LINTON BLVD STE 206
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6529
Practice Address - Country:US
Practice Address - Phone:561-495-9292
Practice Address - Fax:561-495-0221
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2019-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116813207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine