Individual
DR. DAVID HARRIS MARGOLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
15 PARKMAN ST, WAC 835, BOSTON, MA 02114-3117
(617) 726-7643
(617) 726-6991
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
79554
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3187152
—
MA
01
—
768664
TUFTS HEALTH PLAN
MA
01
—
J19540
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
07/08/2007
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