Provider Demographics
NPI:1932207560
Name:MORCOS, JENNIFER MARY GEORGE (MD)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARY GEORGE
Last Name:MORCOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3101 N HAMPTON DR APT 803
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1525
Mailing Address - Country:US
Mailing Address - Phone:860-833-2998
Mailing Address - Fax:
Practice Address - Street 1:9901 MEDICAL CENTER DRIVE
Practice Address - Street 2:SHADY GROVE HOSPITAL
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:240-826-6596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD11611207P00000X
CT043200207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
930001196Medicare PIN
I22666Medicare UPIN