Provider Demographics
NPI:1124152772
Name:MARGED, BARRY E (DO)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:E
Last Name:MARGED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6469 TOWNSHIP ROAD 255
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-9074
Mailing Address - Country:US
Mailing Address - Phone:330-281-3555
Mailing Address - Fax:
Practice Address - Street 1:2636 BRISTOL PIKE
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5366
Practice Address - Country:US
Practice Address - Phone:215-639-8770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S004052L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine