Individual
BATSHEVA MARGOLESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 TOVA DR, LAKEWOOD, NJ 08701-5652
(718) 637-3199
Mailing address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00429500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00429500
NJ STATE LICENSE
—
Enumeration date
06/06/2017
Last updated
04/30/2021
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