Individual
MARGARET R BOERIO IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
117 JUNIPER LN, LIGONIER, PA 15658-9727
(724) 238-0355
(724) 238-0352
Mailing address
117 JUNIPER LN, LIGONIER, PA 15658-9727
(724) 238-0355
(724) 238-0352
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS006033L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013978805
—
PA
Enumeration date
06/17/2006
Last updated
08/04/2015
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