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NPI Code Detail

MEDICARE: DOUGLAS R MORRISSEY MD

MEDICARE: DOUGLAS R MORRISSEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD071972LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194763623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS R MORRISSEY MD
Provider Business Mailing Address
First Line : 6 W NEWPORT RD
Second Line :
City : LITITZ
State : PA
Zip : 17543-7774
Country : US
Telephone Number : 717-627-2108
Fax Number :
Provider Business Practice Location Address
First Line : 6 W NEWPORT RD
Second Line :
City : LITITZ
State : PA
Zip : 17543-7774
Country : US
Telephone Number : 717-627-2108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 03/25/2011

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