Provider Demographics
NPI:1710931332
Name:MORTON PHYSICIAN ASSOCIATES INC
Entity Type:Organization
Organization Name:MORTON PHYSICIAN ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRUDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-824-1280
Mailing Address - Street 1:2007 BAY ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-1086
Mailing Address - Country:US
Mailing Address - Phone:508-824-1280
Mailing Address - Fax:508-824-7293
Practice Address - Street 1:2007 BAY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-1086
Practice Address - Country:US
Practice Address - Phone:508-824-1280
Practice Address - Fax:508-824-7293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Not Answered363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9709860Medicaid
MAM20342Medicare ID - Type Unspecified