Provider Demographics
NPI:1053300145
Name:MORRIS, DONALD JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JAY
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:235 CYPRESS ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6776
Mailing Address - Country:US
Mailing Address - Phone:617-383-6250
Mailing Address - Fax:617-383-6255
Practice Address - Street 1:235 CYPRESS ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-6776
Practice Address - Country:US
Practice Address - Phone:617-383-6250
Practice Address - Fax:617-383-6255
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA57198208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3047644Medicaid
MA57198OtherMASS. STATE LICENSE NUMBE
MA57198OtherMASS. STATE LICENSE NUMBE
MA3047644Medicaid