Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD049930L | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD049930L | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD049930L | PA |
N | 207RI0011X | Interventional Cardiology | MD049930L | PA |
NPI | 1720015647 |
---|---|
Provider Name | Kenneth Ber Margulies |
First Address | Philadelphia, PA 19104-5127 |
Second Address | Philadelphia, PA 19104-5127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 13/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F45280 | (02) |