MEDICARE: EDWARD JOSEPH MORGAN III PHD, 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
1	207RP1001X	Pulmonary Disease Physician	3576	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	46763	OTHER	HI	HMSA

General Provider Information

NPI Number	:	1659370716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD JOSEPH MORGAN III PHD, MD

Provider Business Mailing Address
First Line	:	PO BOX 61730
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96839-1730
Country	:	US
Telephone Number	:	808-536-7980
Fax Number	:	808-536-7980

Provider Business Practice Location Address
First Line	:	2046 MOTT-SMITH DR
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96822-2510
Country	:	US
Telephone Number	:	808-536-7980
Fax Number	:	808-536-7980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	07/08/2007

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