Basic Information
| Provider Information | |||||||||
| NPI: | 1104956127 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEAFE | ||||||||
| FirstName: | MORGAN | ||||||||
| MiddleName: | E. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5501 OLD YORK RD | ||||||||
| Address2: | PALEY 1321 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191413018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154567190 | ||||||||
| FaxNumber: | 2154567308 | ||||||||
| Practice Location | |||||||||
| Address1: | 5501 OLD YORK RD | ||||||||
| Address2: | PALEY BLDG-1ST FLOOR | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191413018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154567170 | ||||||||
| FaxNumber: | 2154563434 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2007 | ||||||||
| LastUpdateDate: | 07/13/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | C7-0003524 | DE | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | C10009016 | DE | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | MA08814800 | NJ | N | Allopathic & Osteopathic Physicians | Pediatrics | 208D00000X | MD436293 | PA | N | Allopathic & Osteopathic Physicians | General Practice | 208M00000X | MD436293 | PA | N | Allopathic & Osteopathic Physicians | Hospitalist | 208000000X | MD436293 | PA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | MA08814800 | 01 | NJ | STATE LICENSE | OTHER | MD436293 | 01 | PA | STATE LICENSE | OTHER | 102342303 | 05 | PA | MEDICAID |