Provider Demographics
NPI:1780681965
Name:MORRISON, DANIEL M (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:175 CAREW ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2389
Mailing Address - Country:US
Mailing Address - Phone:413-737-8328
Mailing Address - Fax:413-737-1377
Practice Address - Street 1:175 CAREW ST STE 110
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2389
Practice Address - Country:US
Practice Address - Phone:413-737-8328
Practice Address - Fax:413-737-1377
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA221554208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH61067Medicare UPIN
MAM13788Medicare ID - Type Unspecified