Provider Demographics
NPI:1497767263
Name:MORRISTOWN NEUROLOGICAL ASSOCIATES, PA
Entity Type:Organization
Organization Name:MORRISTOWN NEUROLOGICAL ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-455-7444
Mailing Address - Street 1:95 MADISON AVE
Mailing Address - Street 2:SUITE 411
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6092
Mailing Address - Country:US
Mailing Address - Phone:973-455-7444
Mailing Address - Fax:973-455-7447
Practice Address - Street 1:95 MADISON AVE
Practice Address - Street 2:SUITE 411
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6092
Practice Address - Country:US
Practice Address - Phone:973-455-7444
Practice Address - Fax:973-455-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB080828002084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty