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NPI Code Detail

MEDICARE: MARK S LEPORE MD

MEDICARE: MARK S LEPORE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology PhysicianMD065618LPA

General Provider Information

NPI Number : 1336142454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK S LEPORE MD
Provider Business Mailing Address
First Line : 470 SENTRY PKWY E
Second Line : STE 200
City : BLUE BELL
State : PA
Zip : 19422-2324
Country : US
Telephone Number : 610-825-5800
Fax Number : 610-397-0980
Provider Business Practice Location Address
First Line : 470 SENTRY PKWY E
Second Line : STE 200
City : BLUE BELL
State : PA
Zip : 19422-2324
Country : US
Telephone Number : 610-825-5800
Fax Number : 610-397-0980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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Directions to “ MARK S LEPORE MD” Practice Location

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