1811994957 NPI number — DR. CHRISTOPHER JEFFREY MORREN M.D.

Table of content: DR. CHRISTOPHER JEFFREY MORREN M.D. (NPI 1811994957)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811994957 NPI number — DR. CHRISTOPHER JEFFREY MORREN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORREN
Provider First Name:
CHRISTOPHER
Provider Middle Name:
JEFFREY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811994957
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 OAK STREET
Provider Second Line Business Mailing Address:
LORD'S POINT
Provider Business Mailing Address City Name:
STONINGTON
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06378-2766
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-535-8156
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 SARGENT DRIVE
Provider Second Line Business Practice Location Address:
CORNELL SCOTT-HILL HEALTH CENTER AT SARGENT DRIVE
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06511-6100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-503-3000
Provider Business Practice Location Address Fax Number:
203-503-3224
Provider Enumeration Date:
07/05/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  22797 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1227974 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".