Provider Demographics
NPI:1538163365
Name:PIMENTEL, MARGARET ANN (DO)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:PIMENTEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 POST OFFICE RD
Mailing Address - Street 2:STE 1A
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-1912
Mailing Address - Country:US
Mailing Address - Phone:301-638-0186
Mailing Address - Fax:301-843-6857
Practice Address - Street 1:601 POST OFFICE RD
Practice Address - Street 2:STE 1A
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-1912
Practice Address - Country:US
Practice Address - Phone:301-638-0186
Practice Address - Fax:301-843-6857
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDH0048020208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD923WMedicare ID - Type Unspecified
MDG81555Medicare UPIN