Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MB05592100 | NJ |
NPI | 1831293331 |
---|---|
Provider Name | William J Morrow |
First Address | Somers Point, NJ 08244-2305 |
Second Address | Somers Point, NJ 08244-2305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 27/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01004634200 | AMERICHOICE (01) | NJ |
040009650 | RAILROAD MEDICARE (01) | NJ |
0709708000 | AMERIHEALTH (01) | NJ |
9083937 | CIGNA (01) | NJ |
F78155 | (02) | NJ |