Healthcare Provider Details

I. General information

NPI: 1891808994
Provider Name (Legal Business Name): HOWARD R MARGOLSKEE,MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 SOMERSET AVE
PITTSFIELD ME
04967-1314
US

IV. Provider business mailing address

84 SOMERSET AVE
PITTSFIELD ME
04967-1314
US

V. Phone/Fax

Practice location:
  • Phone: 207-487-5154
  • Fax: 207-487-3158
Mailing address:
  • Phone: 207-487-5154
  • Fax: 207-487-3158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-1050
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR035826
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number16862
License Number StateME
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number16133
License Number StateME
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number12475
License Number StateME

VIII. Authorized Official

Name: MS. BELINDA J FLETCHER
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 207-487-5154