Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 41837 | MA |
N | 2080P0204X | Pediatric Emergency Doctor | 41837 | MA |
NPI | 1053424291 |
---|---|
Provider Name | Linda J Morgan |
First Address | Salem, MA 01970 |
Second Address | Salem, MA 01970 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2074362 | (05) | MA |
E01852 | (02) |