Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | ME118772 | FL |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD044570L | PA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | ME118772 | FL |
NPI | 1275507931 |
---|---|
Provider Name | Dr. Victor O Morell |
First Address | Pittsburgh, PA 15224 |
Second Address | Pittsburgh, PA 15224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 21/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101004016 | (05) | PA |
G68927 | (02) | PA |