Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | MD045540E | PA |
NPI | 1285993212 |
---|---|
Provider Name | Elizabeth Braude Rappaport |
First Address | Merion Station, PA 19066-1403 |
Second Address | Merion Station, PA 19066-1403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2012 |
Last Update Date | 11/05/2012 |