Provider Demographics
NPI:1124182233
Name:NEY, ERIN MORRISSETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MORRISSETTE
Last Name:NEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:LOUISE
Other - Last Name:MORRISSETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10 LOT PHILLIPS LN
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-2541
Mailing Address - Country:US
Mailing Address - Phone:215-983-5224
Mailing Address - Fax:
Practice Address - Street 1:10 LOT PHILLIPS LN
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-2541
Practice Address - Country:US
Practice Address - Phone:215-983-5224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA255168207R00000X
PAMD436682207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102327100Medicaid
PA161026Medicare PIN