Provider Demographics
NPI:1386813541
Name:E. DAVID MORGAN
Entity type:Organization
Organization Name:E. DAVID MORGAN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIS
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-477-2727
Mailing Address - Street 1:516 DUQUESNE BLVD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-5074
Mailing Address - Country:US
Mailing Address - Phone:732-477-2727
Mailing Address - Fax:732-262-8455
Practice Address - Street 1:516 DUQUESNE BLVD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-5074
Practice Address - Country:US
Practice Address - Phone:732-477-2727
Practice Address - Fax:732-262-8455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5306906Medicaid
NJ5306906Medicaid