MEDICARE: DANIEL L. MARGOLIN DPM

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
1	213ES0131X	Foot Surgery Podiatrist	25MD00173500	NJ
2	213E00000X	Podiatrist	25MD00173500	NJ

General Provider Information

NPI Number	:	1386627149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL L. MARGOLIN DPM

Provider Business Mailing Address
First Line	:	550 KINDERKAMACK RD
Second Line	:	SUITE 202
City	:	ORADELL
State	:	NJ
Zip	:	07649-1500
Country	:	US
Telephone Number	:	201-261-9445
Fax Number	:	201-261-0058

Provider Business Practice Location Address
First Line	:	680 KINDERKAMACK RD STE 204
Second Line	:
City	:	ORADELL
State	:	NJ
Zip	:	07649-1600
Country	:	US
Telephone Number	:	201-261-9445
Fax Number	:	201-261-0058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	10/26/2021

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