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NPI Code Detail

MEDICARE: MARGOT E. CLASQUIN M.D.

MEDICARE: MARGOT E. CLASQUIN 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
1207Y00000XOtolaryngology PhysicianD0062391MD
2207Y00000XOtolaryngology PhysicianMD437429PA

General Provider Information

NPI Number : 1710963905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGOT E. CLASQUIN M.D.
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number : 570-271-6578
Provider Business Practice Location Address
First Line : 675 BALTIMORE DR
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-7900
Country : US
Telephone Number : 570-808-7923
Fax Number : 570-808-6337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 01/27/2023

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