Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 25MD00173500 | NJ |
Y | 222Z00000X | Podiatrist | 25MD00173500 | NJ |
N | 213ES0131X | Foot Surgery | 25MD00173500 | NJ |
NPI | 1386627149 |
---|---|
Provider Name | Daniel L. Margolin |
First Address | Oradell, NJ 07649-1500 |
Second Address | Oradell, NJ 07649-1600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2005 |
Last Update Date | 26/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T44978 | (02) |