MEDICARE: MRS. MARGARET M SKORDAS MASSAGE THERAPY

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	225700000X	Massage Therapist		NJ

General Provider Information

NPI Number	:	1912166984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET M SKORDAS MASSAGE THERAPY

Provider Business Mailing Address
First Line	:	546 WASHINGTON AVE
Second Line	:
City	:	WOODBINE
State	:	NJ
Zip	:	08270-2025
Country	:	US
Telephone Number	:	609-861-1234
Fax Number	:	609-861-1233

Provider Business Practice Location Address
First Line	:	546 WASHINGTON AVE
Second Line	:
City	:	WOODBINE
State	:	NJ
Zip	:	08270-2025
Country	:	US
Telephone Number	:	609-861-1234
Fax Number	:	609-861-1233

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

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	06/05/2008

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