Healthcare Provider Details

I. General information

NPI: 1326190612
Provider Name (Legal Business Name): DAVID M MORRIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 LINCOLN ST DEPARTMENT OF EMERGENCY MEDICINE
FRAMINGHAM MA
01702-6358
US

IV. Provider business mailing address

19 ALDEN RD
WAYLAND MA
01778-3719
US

V. Phone/Fax

Practice location:
  • Phone: 508-383-1104
  • Fax:
Mailing address:
  • Phone: 617-894-4489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number212877
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: