Provider Demographics
NPI:1215971544
Name:STAMBLER, MORRIS JL (MD)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:JL
Last Name:STAMBLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:117 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2136
Mailing Address - Country:US
Mailing Address - Phone:617-527-6827
Mailing Address - Fax:617-527-2527
Practice Address - Street 1:117 LAKE AVE
Practice Address - Street 2:
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-2136
Practice Address - Country:US
Practice Address - Phone:617-527-6827
Practice Address - Fax:617-527-2527
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA316142084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry