Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | C1-0008267 | DE |
N | 2080A0000X | Adolescent Medicine | MD00019734 | WA |
NPI | 1265427330 |
---|---|
Provider Name | Melvin L Morse |
First Address | Milton, DE 19968-1115 |
Second Address | Milton, DE 19968-1115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 18/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1011543 | (05) | WA |
MO8678 | REG (01) | WA |