Provider Demographics
NPI:1285993212
Name:RAPPAPORT, ELIZABETH BRAUDE (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:BRAUDE
Last Name:RAPPAPORT
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 1:303 BERKLEY RD
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1403
Mailing Address - Country:US
Mailing Address - Phone:215-817-0029
Mailing Address - Fax:
Practice Address - Street 1:303 BERKLEY RD
Practice Address - Street 2:
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1403
Practice Address - Country:US
Practice Address - Phone:215-817-0029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045540E2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology