Healthcare Provider Details

I. General information

NPI: 1003817396
Provider Name (Legal Business Name): MORRIS Z EFFRON MD-CAMBRIDGE ENT & ALLERGY ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 AURORA ST CAMBRIDGE EAR NOSE THROAT AND ALLERGY ASSOC PA
CAMBRIDGE MD
21613-1902
US

IV. Provider business mailing address

4 AURORA ST CAMBRIDGE EAR NOSE THROAT AND ALLERGY ASSOC PA
CAMBRIDGE MD
21613-1902
US

V. Phone/Fax

Practice location:
  • Phone: 410-221-0333
  • Fax: 410-228-7691
Mailing address:
  • Phone: 410-221-0333
  • Fax: 410-228-7691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberD31829
License Number StateMD

VIII. Authorized Official

Name: MORRIS Z EFFRON MD
Title or Position: PRESIDENT
Credential:
Phone: 410-221-0333