Healthcare Provider Details

I. General information

NPI: 1255881157
Provider Name (Legal Business Name): MR. ROSS JOSEPH MORGAN III
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2016
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 ANDERSON ST
PITTSBURGH PA
15212-5803
US

IV. Provider business mailing address

160 E 56TH ST FL T12
NEW YORK NY
10022-3609
US

V. Phone/Fax

Practice location:
  • Phone: 412-322-4151
  • Fax:
Mailing address:
  • Phone: 212-457-1722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: