Provider Demographics
NPI:1003868381
Name:RAPPAPORT, DANIEL M (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:RAPPAPORT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 110B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:3321 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-7411
Practice Address - Country:US
Practice Address - Phone:610-262-7123
Practice Address - Fax:484-403-4028
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2016-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD040274L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50049076OtherCAPITAL BLUE CROSS
PA01701088788Medicaid
PA110102496OtherPALMETTO GBA MEDICARE
PA174754OtherHIGHMARK PA BLUE SHIELD
PAC32807Medicare UPIN
PA174754H9MMedicare PIN
PA174754KZJMedicare PIN