Provider Demographics
NPI:1124012158
Name:MORRISSEY, GREGORY (DO)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:
Last Name:MORRISSEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:55 HIGH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-2213
Mailing Address - Country:US
Mailing Address - Phone:603-929-2137
Mailing Address - Fax:603-929-7482
Practice Address - Street 1:55 HIGH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2213
Practice Address - Country:US
Practice Address - Phone:603-929-2137
Practice Address - Fax:603-929-7482
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH11003207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3089177Medicaid
NH3089177Medicaid
H18320Medicare UPIN
NHRE5743Medicare PIN
ME281740099Medicaid