Provider Demographics
NPI:1427052794
Name:LARRUMBIDE, MARGARET F (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:F
Last Name:LARRUMBIDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:F
Other - Last Name:ZAMORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:291 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1813
Mailing Address - Country:US
Mailing Address - Phone:508-584-1210
Mailing Address - Fax:508-584-6934
Practice Address - Street 1:291 E CENTER ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1813
Practice Address - Country:US
Practice Address - Phone:508-584-1210
Practice Address - Fax:508-584-6934
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6366208000000X
MA268922208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121025405Medicaid
TX121025405Medicaid