Provider Demographics
NPI:1588704985
Name:MORIN, EMILY ASH (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ASH
Last Name:MORIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 WISCONSIN AVE
Mailing Address - Street 2:#100
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-656-2027
Mailing Address - Fax:301-656-9690
Practice Address - Street 1:8200 WISCONSIN AVE
Practice Address - Street 2:#100
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-656-2027
Practice Address - Fax:301-656-9690
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060771207W00000X
VA101229135207W00000X
DEMD33267207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010025265Medicaid
VA010025265Medicaid
H91508Medicare UPIN