Healthcare Provider Details

I. General information

NPI: 1740584457
Provider Name (Legal Business Name): MARGARET IRENE GRIFFITH MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 01/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

843 HUTCHINSON RIVER PARKWAY
BRONX NY
10465-9503
US

IV. Provider business mailing address

30 REGENT ST APT 918
JERSEY CITY NJ
07302-7355
US

V. Phone/Fax

Practice location:
  • Phone: 718-925-4400
  • Fax:
Mailing address:
  • Phone: 732-778-3048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number273516
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number25MA09200600
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number273516
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number25MA09200600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: