Provider Demographics
NPI:1104956127
Name:LEAFE, MORGAN E (MD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:E
Last Name:LEAFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 OLD YORK RD
Mailing Address - Street 2:PALEY 1321
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3018
Mailing Address - Country:US
Mailing Address - Phone:215-456-7190
Mailing Address - Fax:215-456-7308
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:PALEY BLDG-1ST FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-7170
Practice Address - Fax:215-456-3434
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-0003524208000000X
DEC10009016208000000X
NJMA08814800208000000X
PAMD436293208D00000X, 208M00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMA08814800OtherSTATE LICENSE
PAMD436293OtherSTATE LICENSE
PA102342303Medicaid
PA102342303Medicaid