Organization
SANDRA L. MARGOLES, MD., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA L MARGOLES MD (OWNER)
(203) 869-2939
Entity
Organization
Contact information
Practice address
2 1/2 DEARFIELD DR, SUITE 102, GREENWICH, CT 06831-5335
(203) 869-2939
Mailing address
2 1/2 DEARFIELD DR, SUITE 102, GREENWICH, CT 06831-5335
(203) 869-2939
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
037667
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001376674
—
CT
Enumeration date
07/09/2008
Last updated
07/09/2008
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