Organization Name: | FREDRIC C MORGAN, MD, INC |
NPI Number: | 1629375001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FREDRIC C MORGAN (MD) |
Mailing Address: | 1491 Cedarwood Ln Suite A Pleasanton |
State: | CA US |
Postal Code: | 945666154 |
Phone Number: | 9256000503 |
Fax Number: | 9254842802 |
NPI Enumeration Date: | 02/19/2011 |
NPI Last Update Date: | 02/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G60914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |