Provider Demographics
NPI:1427399542
Name:LOUIS C. MORELLI, MD PC
Entity Type:Organization
Organization Name:LOUIS C. MORELLI, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:609-652-5544
Mailing Address - Street 1:48 S NEW YORK RD
Mailing Address - Street 2:SUITE B-4
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9680
Mailing Address - Country:US
Mailing Address - Phone:609-652-5544
Mailing Address - Fax:609-748-8415
Practice Address - Street 1:48 S NEW YORK RD
Practice Address - Street 2:SUITE B-4
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9680
Practice Address - Country:US
Practice Address - Phone:609-652-5544
Practice Address - Fax:609-748-8415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA514982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ136646Medicare PIN
NJ136646Medicare UPIN