Provider Demographics
NPI:1336206069
Name:WILLIAM J MORROW DO PA
Entity type:Organization
Organization Name:WILLIAM J MORROW DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-601-1750
Mailing Address - Street 1:715 BAY AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2305
Mailing Address - Country:US
Mailing Address - Phone:609-601-1570
Mailing Address - Fax:609-601-1567
Practice Address - Street 1:715 BAY AVE
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2305
Practice Address - Country:US
Practice Address - Phone:609-601-1570
Practice Address - Fax:609-601-1567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05592100207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2028328000OtherAMERIHEALTH MANAGED CARE
NJ1335766OtherAMERIHEALTH PERS CHOICE
NJCJ6863OtherRAILROAD MEDICARE
NJ048873Medicare ID - Type Unspecified