MEDICARE: SHELDON MARGULIES MD CONSULTING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1689945107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELDON MARGULIES MD CONSULTING INC

Provider Business Mailing Address
First Line	:	705 KERSEY RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 KERSEY RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3054
Country	:	US
Telephone Number	:	301-754-0888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHELDON MARGULIES
Credential	:
Telephone Number	:	301-754-0888

Provider Enumeration Date	:	01/13/2012
Last Update Date	:	01/13/2012

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