Healthcare Provider Details

I. General information

NPI: 1801144225
Provider Name (Legal Business Name): LAURA BALDERRAMA MORLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 08/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MADISON AVE SUITE 405
MORRISTOWN NJ
07960-7357
US

IV. Provider business mailing address

101 MADISON AVE SUITE 405
MORRISTOWN NJ
07960-7357
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-7272
  • Fax: 973-455-0099
Mailing address:
  • Phone: 973-267-7272
  • Fax: 973-455-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA09166300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: