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NPI Code Detail

MEDICARE: MARGARET R BOERIO IV DO

MEDICARE: MARGARET R BOERIO IV DO
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
12084P0800XPsychiatry PhysicianOS006033LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336184035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET R BOERIO IV DO
Provider Business Mailing Address
First Line : 117 JUNIPER LN
Second Line :
City : LIGONIER
State : PA
Zip : 15658-9727
Country : US
Telephone Number : 724-238-0355
Fax Number : 724-238-0352
Provider Business Practice Location Address
First Line : 117 JUNIPER LN
Second Line :
City : LIGONIER
State : PA
Zip : 15658-9727
Country : US
Telephone Number : 724-238-0355
Fax Number : 724-238-0352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 08/04/2015

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