Provider Demographics
NPI:1003817396
Name:MORRIS Z EFFRON MD-CAMBRIDGE ENT & ALLERGY ASSOCIATES PA
Entity Type:Organization
Organization Name:MORRIS Z EFFRON MD-CAMBRIDGE ENT & ALLERGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:Z
Authorized Official - Last Name:EFFRON MD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-221-0333
Mailing Address - Street 1:4 AURORA ST
Mailing Address - Street 2:CAMBRIDGE EAR NOSE THROAT AND ALLERGY ASSOC PA
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-1902
Mailing Address - Country:US
Mailing Address - Phone:410-221-0333
Mailing Address - Fax:410-228-7691
Practice Address - Street 1:4 AURORA ST
Practice Address - Street 2:CAMBRIDGE EAR NOSE THROAT AND ALLERGY ASSOC PA
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1902
Practice Address - Country:US
Practice Address - Phone:410-221-0333
Practice Address - Fax:410-228-7691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD31829207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD370221900Medicaid
K017Medicare PIN
MD370221900Medicaid