Samer T Morcos
Internist Pulmonary Disease
112 Mansfield Ave
Willimantic
, Connecticut 06226-2045
Samer T Morcos
Internist Pulmonary Disease
112 Mansfield Ave
Willimantic
, Connecticut 06226-2045
(860) 456-6838
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About
Features
Specialties
- Internist
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Samer T Morcos
- 112 Mansfield Ave
- Willimantic, CT
- Zip : 06226-2045
- Fax : (860) 456-6838
- Phone : (860) 456-6713
Second Address
- Samer T Morcos
- 112 Mansfield Ave
- Willimantic, CT
- Zip : 06226-2045
- Fax : (860) 456-6838
- Phone : (860) 456-6713
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 042938 | CT |
| N | 111NI0900X | Internist | 042938 | CT |
| Y | 207RP1001X | Pulmonary Disease | 042938 | CT |
National Provider Identifier
| NPI | 1043277890 |
|---|---|
| Provider Name | Samer T Morcos |
| First Address | Willimantic, CT 06226-2045 |
| Second Address | Willimantic, CT 06226-2045 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 14/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001429382 | (05) | CT |
| 010042938CT01 | ANTHEM BC/BS OF CT (01) | CT |
| 1078580 | AETNA (01) | CT |
| I46742 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.