Provider Demographics
NPI:1285979534
Name:MEYER, MARGARET WOOLF (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:WOOLF
Last Name:MEYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3534 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5009
Mailing Address - Country:US
Mailing Address - Phone:619-823-0099
Mailing Address - Fax:
Practice Address - Street 1:7575 METROPOLITAN DR
Practice Address - Street 2:STE 301
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4421
Practice Address - Country:US
Practice Address - Phone:619-278-4669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG30083208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E79865Medicare UPIN