Provider Demographics
NPI:1558354464
Name:EFFRON, MORRIS Z (MD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:Z
Last Name:EFFRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 AURORA ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-1902
Mailing Address - Country:US
Mailing Address - Phone:410-221-0333
Mailing Address - Fax:410-228-7691
Practice Address - Street 1:4 AURORA ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1902
Practice Address - Country:US
Practice Address - Phone:410-221-0333
Practice Address - Fax:410-228-7691
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD31829207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD370221900Medicaid
MD370221900Medicaid
K017R306Medicare PIN