Provider Demographics
NPI:1093788838
Name:MORLEDGE, LOUIS J (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:J
Last Name:MORLEDGE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:150 E 58TH ST
Mailing Address - Street 2:18TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10155-0002
Mailing Address - Country:US
Mailing Address - Phone:212-583-2830
Mailing Address - Fax:212-583-0444
Practice Address - Street 1:150 E 58TH ST
Practice Address - Street 2:18TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10155-0002
Practice Address - Country:US
Practice Address - Phone:212-583-2830
Practice Address - Fax:212-583-0444
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY191289207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF75814Medicare UPIN
NY71I621Medicare ID - Type Unspecified