Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 14869 | MA |
NPI | 1538287859 |
---|---|
Provider Name | Dr. Peter Christopher Morris |
First Address | Framingham, MA 01702-5889 |
Second Address | Framingham, MA 01702-5889 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 08/07/2007 |