Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 25MA04358500 | NJ |
NPI | 1033372503 |
---|---|
Provider Name | Dr. Morrow C. Corvasce |
First Address | Brick, NJ 08724-4428 |
Second Address | Brick, NJ 08724-4428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2008 |
Last Update Date | 05/07/2008 |