MEDICARE: DR. TODD A. MORROW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	25MA05059700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063418549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD A. MORROW M.D.

Provider Business Mailing Address
First Line	:	741 NORTHFIELD AVE
Second Line	:	STE 104
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-1104
Country	:	US
Telephone Number	:	973-243-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	741 NORTHFIELD AVE
Second Line	:	STE 104
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-1104
Country	:	US
Telephone Number	:	973-243-0600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	08/20/2007

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