Individual
LEONORE CHARLES HUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 SPRUCE ST, ONE PINE EAST, PHILADELPHIA, PA 19107-6130
(215) 829-6385
(215) 829-6553
Mailing address
800 SPRUCE ST, ONE PINE EAST, PHILADELPHIA, PA 19107-6130
(215) 829-6385
(215) 829-6553
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
MD014281E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052744000
KEYSTONE HEALTH PLAN EAST
PA
01
—
025681
PERSONAL CHOICE
PA
Enumeration date
06/05/2006
Last updated
09/19/2011
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