Provider Demographics
NPI:1427481761
Name:MOR, AMIR (MD)
Entity type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:MOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PONDMEADOW DR STE 101
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3222
Mailing Address - Country:US
Mailing Address - Phone:781-942-7000
Mailing Address - Fax:781-942-7200
Practice Address - Street 1:20 PONDMEADOW DR STE 101
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3222
Practice Address - Country:US
Practice Address - Phone:781-942-7000
Practice Address - Fax:781-942-7200
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT56139207V00000X
MA1013943207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY304058OtherMEDICAL LICENSE
CT56139OtherCT MEDICAL LICENSE
MA1013943OtherMEDICAL LICENSE