Provider Demographics
NPI:1457329088
Name:LAPORTE, STEVEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:LAPORTE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:207 N BROAD ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1500
Mailing Address - Country:US
Mailing Address - Phone:267-479-4142
Mailing Address - Fax:215-463-3820
Practice Address - Street 1:255 W LANCASTER AVE
Practice Address - Street 2:PAOLI MED BLDG III SUITE 234
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301
Practice Address - Country:US
Practice Address - Phone:610-647-4260
Practice Address - Fax:610-647-7430
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2018-05-17
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Provider Licenses
StateLicense IDTaxonomies
PAMD015415E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000606268Medicaid
PAP01066192OtherRR MEDICARE
PA027636GT6Medicare PIN