Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0106X | Oral and Maxillofacial Pathology | DF11217 | MA |
Y | 1223P0700X | Prosthodontist | DF 11217 | MA |
NPI | 1427281963 |
---|---|
Provider Name | Dr. Sujey Morgan |
First Address | Boston, MA 02111-1527 |
Second Address | Boston, MA 02111-1527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2009 |
Last Update Date | 14/10/2016 |