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Individual

MS. SANDRA JILL MARGOLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
259 SWANTON ST STE A, WINCHESTER, MA 01890-4301
(781) 721-4616
Mailing address
137 CHRISTINA ST, NEWTON, MA 02461-1915
(617) 964-4691

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
232926
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0393941
MASSHEALTH
MA
01
NP2535
BCBSMA
MA
Enumeration date
01/30/2007
Last updated
07/08/2007
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