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NPI Code Detail

MEDICARE: DR. ERIC JOSEPH MARGOLIS M.D.

MEDICARE:  DR. ERIC JOSEPH MARGOLIS  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
12080N0001XNeonatal-Perinatal Medicine PhysicianG87529CA

General Provider Information

NPI Number : 1811951346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC JOSEPH MARGOLIS M.D.
Provider Business Mailing Address
First Line : 1117 MONROE CT
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-3500
Country : US
Telephone Number : 707-228-0338
Fax Number : 707-525-5308
Provider Business Practice Location Address
First Line : 1165 MONTGOMERY DR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-4801
Country : US
Telephone Number : 707-525-5368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ERIC JOSEPH MARGOLIS M.D.” Practice Location

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