Provider Demographics
NPI:1548867237
Name:MARGARITA-GOLDKAMP, VIOLET
Entity type:Individual
Prefix:
First Name:VIOLET
Middle Name:
Last Name:MARGARITA-GOLDKAMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 2ND ST
Mailing Address - Street 2:
Mailing Address - City:POCOMOKE CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21851-1417
Mailing Address - Country:US
Mailing Address - Phone:267-304-4049
Mailing Address - Fax:
Practice Address - Street 1:424 W MARKET ST
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:MD
Practice Address - Zip Code:21863-1268
Practice Address - Country:US
Practice Address - Phone:410-632-9230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator