Provider Demographics
NPI:1831434992
Name:MARGOLIS, SUSAN S (CD(DONA))
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:S
Last Name:MARGOLIS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:SHOSHANA
Other - Middle Name:
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1545 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-2111
Mailing Address - Country:US
Mailing Address - Phone:412-872-4515
Mailing Address - Fax:
Practice Address - Street 1:1545 OHIO AVE
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-2111
Practice Address - Country:US
Practice Address - Phone:412-872-4515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula