Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 52159 | SC |
NPI | 1043577091 |
---|---|
Provider Name | Andrew Craig Margules |
First Address | Willow Grove, PA 19090-1226 |
Second Address | Langhorne, PA 19047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2012 |
Last Update Date | 19/08/2019 |