Basic Information
Provider Information
NPI: 1457523045
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOVE
FirstName: MARGARET
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 511 S 9TH ST
Address2: APT 1F
City: PHILADELPHIA
State: PA
PostalCode: 19147
CountryCode: US
TelephoneNumber: 2154275000
FaxNumber:  
Practice Location
Address1: FRONT & ERIE STS
Address2: SCHC EMERGENCY DEPT
City: PHILADELPHIA
State: PA
PostalCode: 19134
CountryCode: US
TelephoneNumber: 2154275000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/24/2008
LastUpdateDate: 03/24/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PP0204XMD433640PAY Allopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine

No ID Information.


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