Healthcare Provider Details

I. General information

NPI: 1043606536
Provider Name (Legal Business Name): MORGAN L HUTCHINSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN L OAKLAND MD

II. Dates (important events)

Enumeration Date: 04/10/2015
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 SANSOM ST STE 239
PHILADELPHIA PA
19107-5002
US

IV. Provider business mailing address

1020 SANSOM ST STE 1651B
PHILADELPHIA PA
19107-5002
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-6844
  • Fax: 215-955-2526
Mailing address:
  • Phone: 215-955-2363
  • Fax: 215-955-0640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD464310
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: