Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 74028 | MA |
NPI | 1093740094 |
---|---|
Provider Name | Thomas Bernard Morrissey |
First Address | Weston, FL 33327-1500 |
Second Address | Miami Lakes, FL 33327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |