Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 51084 | MA |
NPI | 1003898966 |
---|---|
Provider Name | Dr. David Clark Morley JR. |
First Address | Lowell, MA 01854 |
Second Address | Lowell, MA 01854 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 08/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17458 | PILGRIM (01) | |
700852 | TUFTS (01) | |
B74155 | (02) | |
J01166 | BC (01) |