Provider Demographics
NPI:1538160569
Name:WATSON, MARGOT E (MD)
Entity type:Individual
Prefix:
First Name:MARGOT
Middle Name:E
Last Name:WATSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2 MERIDIAN BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3202
Mailing Address - Country:US
Mailing Address - Phone:610-372-4957
Mailing Address - Fax:610-372-3735
Practice Address - Street 1:10710 CHARTER DR
Practice Address - Street 2:MEDICAL PAVILION AT HOWARD COUNTY-SUITE 200
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3128
Practice Address - Country:US
Practice Address - Phone:410-884-8000
Practice Address - Fax:410-740-8587
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD41598207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD153211100Medicaid
MDE95231Medicare UPIN
MD354P716GMedicare PIN