Provider Demographics
NPI:1215996988
Name:LIPKIN, DAVID E (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:LIPKIN
Suffix:
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 1:9 PINETREE PL
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-1631
Mailing Address - Country:US
Mailing Address - Phone:215-605-8816
Mailing Address - Fax:888-718-1827
Practice Address - Street 1:9 PINETREE PL
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-1631
Practice Address - Country:US
Practice Address - Phone:215-605-8816
Practice Address - Fax:888-718-1827
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011829E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB39912Medicare UPIN
PA149553Medicare ID - Type Unspecified