Healthcare Provider Details

I. General information

NPI: 1538629654
Provider Name (Legal Business Name): ERIC JOEL MARGULIES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2019
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10801 LOCKWOOD DR STE 200
SILVER SPRING MD
20901-1562
US

IV. Provider business mailing address

10801 LOCKWOOD DR STE 200
SILVER SPRING MD
20901-1562
US

V. Phone/Fax

Practice location:
  • Phone: 301-593-2002
  • Fax: 202-823-4809
Mailing address:
  • Phone: 301-593-2002
  • Fax: 202-823-4809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberBP10079522
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD0102341
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: