Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 55296 | CT |
NPI | 1134430960 |
---|---|
Provider Name | Morgan D. Spaight |
First Address | Voorhees, NJ 08043-3520 |
Second Address | Danbury, CT 06810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2010 |
Last Update Date | 04/06/2018 |