Healthcare Provider Details

I. General information

NPI: 1801851787
Provider Name (Legal Business Name): NEIL MORROW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 12/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SPRUCE STREET
PHILADELPHIA PA
19107-6130
US

IV. Provider business mailing address

150 BLUFF AVE
NORTH AUGUSTA SC
29841-3862
US

V. Phone/Fax

Practice location:
  • Phone: 215-829-3867
  • Fax: 215-829-5567
Mailing address:
  • Phone: 800-394-4445
  • Fax: 706-650-1034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD064266L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD064266L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: