Individual
THOMAS DANIEL MARGULIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
229 W STEWART AVE, MEDFORD, OR 97501-3663
(541) 618-6443
(541) 618-6452
Mailing address
229 W STEWART AVE, MEDFORD, OR 97501-3663
(541) 618-6443
(541) 618-6452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19955
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081757
—
OR
01
—
170051
MEDICAID GROUP
OR
01
—
R105049
MEDICARE GROUP PIN
OR
01
—
R105706
MEDICARE GRP/FPGPC
OR
Enumeration date
07/24/2006
Last updated
04/11/2008
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