Healthcare Provider Details

I. General information

NPI: 1144006628
Provider Name (Legal Business Name): MORRIS SPECTRUM CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2023
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 ROUTE 10 STE 130
PARSIPPANY NJ
07054-5305
US

IV. Provider business mailing address

8 GREENWOOD RD
MORRIS PLAINS NJ
07950-2909
US

V. Phone/Fax

Practice location:
  • Phone: 973-970-2718
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HARJINDER KHABRA
Title or Position: MANAGER
Credential:
Phone: 916-276-5882