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NPI Code Detail

MEDICARE: DR. SCOTT N MARGRAF M.D

MEDICARE: DR. SCOTT N MARGRAF 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
1207Q00000XFamily Medicine PhysicianMD26027OR
2207L00000XAnesthesiology Physician65222CT

General Provider Information

NPI Number : 1194701078
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT N MARGRAF M.D
Provider Business Mailing Address
First Line : 267 GRANT ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610-2870
Country : US
Telephone Number : 203-384-3000
Fax Number :
Provider Business Practice Location Address
First Line : 267 GRANT ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610-2870
Country : US
Telephone Number : 203-384-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 07/15/2020

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