Provider Demographics
NPI:1154560795
Name:READE, MORGAN (LAC, CA)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:
Last Name:READE
Suffix:
Gender:M
Credentials:LAC, CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MARKETSIDE AVE
Mailing Address - Street 2:STE 404 PMB 327
Mailing Address - City:PONTE VEDRA
Mailing Address - State:FL
Mailing Address - Zip Code:32081-1542
Mailing Address - Country:US
Mailing Address - Phone:201-400-2261
Mailing Address - Fax:
Practice Address - Street 1:216 MALLARD LN
Practice Address - Street 2:
Practice Address - City:LAVALLETTE
Practice Address - State:NJ
Practice Address - Zip Code:08735-1615
Practice Address - Country:US
Practice Address - Phone:201-400-2261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00058400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist