Provider Demographics
NPI:1801958210
Name:MORELLI, LOUIS C (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:C
Last Name:MORELLI
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 1:48 S NEW YORK RD
Mailing Address - Street 2:SUITE B-4
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9680
Mailing Address - Country:US
Mailing Address - Phone:609-652-5544
Mailing Address - Fax:609-748-8415
Practice Address - Street 1:48 S NEW YORK RD
Practice Address - Street 2:SUITE B-4
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9680
Practice Address - Country:US
Practice Address - Phone:609-652-5544
Practice Address - Fax:609-748-8415
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA51498174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJB20166Medicare UPIN
NJ136646Medicare ID - Type Unspecified