Healthcare Provider Details
I. General information
NPI: 1831880293
Provider Name (Legal Business Name): RICHARD A MORTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/17/2023
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8 ATWOOD DR STE 301
NORTHAMPTON MA
01060-4266
US
IV. Provider business mailing address
8 ATWOOD DR STE 301
NORTHAMPTON MA
01060-4266
US
V. Phone/Fax
- Phone: 413-586-5555
- Fax:
- Phone: 413-586-5555
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: