Provider Demographics
NPI:1619165792
Name:MORREN & NOMIZU MD PC
Entity Type:Organization
Organization Name:MORREN & NOMIZU MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MORREN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-443-7907
Mailing Address - Street 1:276 MONTAUK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-4727
Mailing Address - Country:US
Mailing Address - Phone:860-443-7907
Mailing Address - Fax:860-442-6730
Practice Address - Street 1:276 MONTAUK AVE
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4727
Practice Address - Country:US
Practice Address - Phone:860-443-7907
Practice Address - Fax:860-442-6730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty