Healthcare Provider Details

I. General information

NPI: 1366732208
Provider Name (Legal Business Name): MORGAN KALMAN CLINIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 04/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W BALTIMORE PIKE
WEST GROVE PA
19390-9313
US

IV. Provider business mailing address

2501 SILVERSIDE RD
WILMINGTON DE
19810-3733
US

V. Phone/Fax

Practice location:
  • Phone: 610-869-5757
  • Fax: 610-869-6544
Mailing address:
  • Phone: 302-529-5500
  • Fax: 302-529-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ELLIOTT H LEITMAN
Title or Position: DIRECTOR/OFFICER
Credential: M.D.
Phone: 302-529-5500