Healthcare Provider Details
I. General information
NPI: 1518268176
Provider Name (Legal Business Name): LOUIS J MORRONE MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2010
Last Update Date: 11/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
43 RIDGE RD
N ARLINGTON NJ
07031-6306
US
IV. Provider business mailing address
43 RIDGE RD
N ARLINGTON NJ
07031-6306
US
V. Phone/Fax
- Phone: 201-998-6900
- Fax: 201-998-7667
- Phone: 201-998-6900
- Fax: 201-998-7667
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | 25MA02890800 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
LOUIS
J
MORRONE
Title or Position: PRESIDENT
Credential: MD
Phone: 201-998-6900