Healthcare Provider Details

I. General information

NPI: 1477972032
Provider Name (Legal Business Name): MARGARET WAT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2014
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CUMMINGS CTR STE 311T
BEVERLY MA
01915-6260
US

IV. Provider business mailing address

900 CUMMINGS CTR STE 311T
BEVERLY MA
01915-6260
US

V. Phone/Fax

Practice location:
  • Phone: 978-225-3376
  • Fax: 978-560-1245
Mailing address:
  • Phone: 978-225-3376
  • Fax: 978-560-1245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberU1455
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberU1455
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberU1455
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: