Individual
MARGUERITE REGINA BILLBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1098 W BALTIMORE PIKE STE 3301, MEDIA, PA 19063-5139
(610) 522-2822
(610) 522-2880
Mailing address
1098 W BALTIMORE PIKE STE 3301, MEDIA, PA 19063-5139
(610) 522-2822
(610) 522-2880
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD044676L
PA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD044676L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01283813101
—
PA
01
—
0466560000
KEYSTONE HEALTH PLAN EAST
PA
01
—
636411
BLUE SHIELD
PA
Enumeration date
03/02/2006
Last updated
06/10/2022
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