Provider Demographics
NPI:1689730343
Name:MORGANSTEIN, HENRY LAWRENCE (DO)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:LAWRENCE
Last Name:MORGANSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08104-1333
Mailing Address - Country:US
Mailing Address - Phone:856-963-6980
Mailing Address - Fax:
Practice Address - Street 1:1809 BROADWAY
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08104-1333
Practice Address - Country:US
Practice Address - Phone:856-963-6980
Practice Address - Fax:856-963-6988
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB02101700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1458507Medicaid
154642Medicare PIN
E06162Medicare UPIN
NJ1458507Medicaid