Healthcare Provider Details

I. General information

NPI: 1003980715
Provider Name (Legal Business Name): LOFFLER BARRY MD & MORGESE MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 JEFFERSON ST STE 260
NAPA CA
94559
US

IV. Provider business mailing address

2160 JEFFERSON ST STE 260
NAPA CA
94559
US

V. Phone/Fax

Practice location:
  • Phone: 707-259-0700
  • Fax: 707-252-2645
Mailing address:
  • Phone: 707-259-0700
  • Fax: 707-252-2645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINE LOFFLER BARRY
Title or Position: PRESIDENT PHYSICIAN
Credential: MD
Phone: 701-259-0700