Basic Information
Provider Information | |||||||||
NPI: | 1932150323 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | D'ARCANGELO | ||||||||
FirstName: | MARGARET | ||||||||
MiddleName: | R | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 100 PENN SQUARE EAST, 9TH FL NORTH TOWER | ||||||||
Address2: | CHCA ENDOCRINOLOGY | ||||||||
City: | PHILADELPHAI | ||||||||
State: | PA | ||||||||
PostalCode: | 19107 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2674259200 | ||||||||
FaxNumber: | 2674259299 | ||||||||
Practice Location | |||||||||
Address1: | 2106 HARRISBURG PIKE STE 22 | ||||||||
Address2: | CHCA ENDOCRINOLOGY | ||||||||
City: | LANCASTER | ||||||||
State: | PA | ||||||||
PostalCode: | 176012644 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7175440375 | ||||||||
FaxNumber: | 7175440376 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/12/2006 | ||||||||
LastUpdateDate: | 09/09/2016 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD045701L | PA | N |   | Allopathic & Osteopathic Physicians | Pediatrics |   | 2080P0205X | MD045701L | PA | Y |   | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology |
ID Information
ID | Type | State | Issuer | Description | 0014516410003 | 05 | PA |   | MEDICAID |