Basic Information
Provider Information
NPI: 1578765962
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMBERT
FirstName: DAVID
MiddleName: SCOTT
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3400 SPRUCE STREET
Address2: GROUND SILVERSTEIN BUILDING
City: PHILADELPHIA
State: PA
PostalCode: 191044206
CountryCode: US
TelephoneNumber: 2156627248
FaxNumber: 2156623953
Practice Location
Address1: 3400 SPRUCE STREET
Address2: GROUND SILVERSTEIN BUILDING
City: PHILADELPHIA
State: PA
PostalCode: 191044206
CountryCode: US
TelephoneNumber: 2156627248
FaxNumber: 2156623953
Other Information
ProviderEnumerationDate: 06/05/2007
LastUpdateDate: 10/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X25MA08013200NJN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207PE0005XMD432204PAN Allopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
207PH0002X25MA08013200NJN Allopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
207P00000XMD432204PAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


Home