Healthcare Provider Details

I. General information

NPI: 1548266489
Provider Name (Legal Business Name): ROBERT E. MORRISON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 NORTHGATE DR SUITE 206
BETHLEHEM PA
18017-9411
US

IV. Provider business mailing address

1493 BUCK TRAIL RD
ALLENTOWN PA
18104-2058
US

V. Phone/Fax

Practice location:
  • Phone: 610-882-9880
  • Fax: 610-882-9885
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMD051320L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD051320L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: