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Individual
MRS. JENNIFER ANN LAPORTA
Active
Individual
MRS. JENNIFER ANN LAPORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10005700
NJ
207Q00000X
Family Medicine Physician
287545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04782743
—
NY
05
—
0685984
—
NJ
01
—
823848
MEDICARE
NJ
01
—
A400174459
MEDICARE
NY
Enumeration date
04/07/2014
Last updated
09/28/2020
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