Provider Demographics
NPI:1033104526
Name:LAMPROU, EMANUEL JR (MD)
Entity Type:Individual
Prefix:
First Name:EMANUEL
Middle Name:
Last Name:LAMPROU
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2070 SPRINGDALE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2043
Mailing Address - Country:US
Mailing Address - Phone:856-433-8267
Mailing Address - Fax:856-375-2251
Practice Address - Street 1:2070 SPRINGDALE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2043
Practice Address - Country:US
Practice Address - Phone:856-433-8267
Practice Address - Fax:856-375-2251
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422397L207L00000X
NJ25MA04301200207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA076909H12Medicare PIN
NJ551528Medicare PIN
E61098Medicare UPIN