Provider Demographics
NPI:1811055775
Name:MCCRAY, MORRIS E (DO)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:E
Last Name:MCCRAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2201 PROVIDENCE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-5218
Mailing Address - Country:US
Mailing Address - Phone:610-872-0505
Mailing Address - Fax:610-874-7717
Practice Address - Street 1:2201 PROVIDENCE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-5218
Practice Address - Country:US
Practice Address - Phone:610-872-0505
Practice Address - Fax:610-874-7717
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOSOO3315L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0031955001OtherKEYSTONE EAST HMO
PA100218OtherKEYSTONE MERCY HMO
PA11626OtherELDER HEALTH
PW1153OtherAETNA HMO
PA0065964601OtherAMERICHOICE
PA0065964601Medicaid
PAA57087OtherAMERIHEALTH ADMIN.
PA11626OtherELDER HEALTH
PAA57087OtherAMERIHEALTH ADMIN.