Provider Demographics
NPI:1134330830
Name:EDWARD J. MORGAN, M.D., INC.
Entity Type:Organization
Organization Name:EDWARD J. MORGAN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:808-536-7980
Mailing Address - Street 1:PO BOX 61730
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96839-1730
Mailing Address - Country:US
Mailing Address - Phone:808-536-7980
Mailing Address - Fax:808-536-7980
Practice Address - Street 1:2046 MOTT-SMITH DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2510
Practice Address - Country:US
Practice Address - Phone:808-536-7980
Practice Address - Fax:808-536-7980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI551174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI04233801Medicaid
HI46763OtherHMSA
HI04233801Medicaid