Provider Demographics
NPI:1639448129
Name:MORJAIM, ISIDORO (MD)
Entity Type:Individual
Prefix:DR
First Name:ISIDORO
Middle Name:
Last Name:MORJAIM
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 1:10226 W BROADVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1136
Mailing Address - Country:US
Mailing Address - Phone:305-865-3512
Mailing Address - Fax:
Practice Address - Street 1:10226 W BROADVIEW DR
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-1136
Practice Address - Country:US
Practice Address - Phone:305-865-3512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27745207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology