Provider Demographics
NPI:1699966614
Name:MORGAN, FARAH HENA (MD)
Entity type:Individual
Prefix:
First Name:FARAH
Middle Name:HENA
Last Name:MORGAN
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 1:1210 BRACE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3213
Mailing Address - Country:US
Mailing Address - Phone:856-759-3597
Mailing Address - Fax:856-795-7590
Practice Address - Street 1:1210 BRACE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3213
Practice Address - Country:US
Practice Address - Phone:856-759-3597
Practice Address - Fax:856-795-7590
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08892200207RE0101X
VA0101242886390200000X, 207R00000X
VA0116016658390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine