Healthcare Provider Details

I. General information

NPI: 1336206069
Provider Name (Legal Business Name): WILLIAM J MORROW DO PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 BAY AVE
SOMERS POINT NJ
08244-2305
US

IV. Provider business mailing address

715 BAY AVE
SOMERS POINT NJ
08244-2305
US

V. Phone/Fax

Practice location:
  • Phone: 609-601-1570
  • Fax: 609-601-1567
Mailing address:
  • Phone: 609-601-1570
  • Fax: 609-601-1567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number25MB05592100
License Number StateNJ

VIII. Authorized Official

Name: WILLIAM J MORROW
Title or Position: DIRECT OWNER
Credential: DO
Phone: 609-601-1750