Provider Demographics
NPI:1003980715
Name:LOFFLER BARRY MD & MORGESE MD INC
Entity Type:Organization
Organization Name:LOFFLER BARRY MD & MORGESE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOFFLER BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:701-259-0700
Mailing Address - Street 1:2160 JEFFERSON ST
Mailing Address - Street 2:STE 260
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559
Mailing Address - Country:US
Mailing Address - Phone:707-259-0700
Mailing Address - Fax:707-252-2645
Practice Address - Street 1:2160 JEFFERSON ST
Practice Address - Street 2:STE 260
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559
Practice Address - Country:US
Practice Address - Phone:707-259-0700
Practice Address - Fax:707-252-2645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty