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NPI Code Detail

MEDICARE: MORRIS EARLE JR. MD

MEDICARE: MORRIS EARLE JR. 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
12080P0203XPediatric Critical Care Medicine Physician57034MA

General Provider Information

NPI Number : 1750370201
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORRIS EARLE JR. MD
Provider Business Mailing Address
First Line : 30 LOCUST ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-2052
Country : US
Telephone Number : 413-582-2792
Fax Number : 413-582-4675
Provider Business Practice Location Address
First Line : 30 LOCUST ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-2052
Country : US
Telephone Number : 413-582-2792
Fax Number : 413-582-4675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 11/09/2020

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