1801849146 NPI number — HARTFORD PHYSICIAN'S MANAGEMENT CORP.

Table of content: SEAN HUNTING MORSE NP (NPI 1851179436)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801849146 NPI number — HARTFORD PHYSICIAN'S MANAGEMENT CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARTFORD PHYSICIAN'S MANAGEMENT CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1801849146
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 CHAPEL AVE E
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
CHERRY HILL
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08034-1407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-356-4025
Provider Business Mailing Address Fax Number:
856-356-4038

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 MAIN ST
Provider Second Line Business Practice Location Address:
UNIT N1
Provider Business Practice Location Address City Name:
HARTFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06106-1806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-525-1900
Provider Business Practice Location Address Fax Number:
860-522-9913
Provider Enumeration Date:
05/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAZARUS
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
856-356-4000

Provider Taxonomy Codes

  • Taxonomy code: 261QA0005X , with the licence number:  0009 , 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: 004137552 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".




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