Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 02003616A | IN |
N | 207YP0228X | Pediatric Otolaryngology | 036-062413 | IL |
NPI | 1962499988 |
---|---|
Provider Name | Dr. Stuart A Morgenstein |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33908-3838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 28/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036062413 | (05) | IL |
200972560 | (05) | IN |
C45474 | (02) | IL |