MEDICARE: DR. MARGARET A MINEHART M.D.

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	101YP2500X	Professional Counselor	MD037893L	PA

General Provider Information

NPI Number	:	1871665059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET A MINEHART M.D.

Provider Business Mailing Address
First Line	:	1326 SPRUCE ST
Second Line	:	#1701
City	:	PHILA
State	:	PA
Zip	:	19107-5826
Country	:	US
Telephone Number	:	215-685-5460
Fax Number	:	215-685-5467

Provider Business Practice Location Address
First Line	:	1326 SPRUCE ST
Second Line	:	#1701
City	:	PHILA
State	:	PA
Zip	:	19107-5826
Country	:	US
Telephone Number	:	215-685-5460
Fax Number	:	215-685-5467

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/08/2007

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