MEDICARE: RICHARD EDWARD ANTHONY MORRIS M.D.

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	208800000X	Urology Physician	239715	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35085342	OTHER	OH	LICENSE
2	239715	OTHER	MA	ACTIVE LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710942933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD EDWARD ANTHONY MORRIS M.D.

Provider Business Mailing Address
First Line	:	72 WASHINGTON ST
Second Line	:	SUITE 2220
City	:	TAUNTON
State	:	MA
Zip	:	02780-2491
Country	:	US
Telephone Number	:	508-823-5104
Fax Number	:	508-880-7870

Provider Business Practice Location Address
First Line	:	72 WASHINGTON ST
Second Line	:	SUITE 2220
City	:	TAUNTON
State	:	MA
Zip	:	02780-2491
Country	:	US
Telephone Number	:	508-823-5104
Fax Number	:	508-880-7870

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

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	01/14/2010

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