Provider Demographics
NPI:1205919586
Name:MORRISON, ROBERT F (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:455 LEWIS AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-2121
Mailing Address - Country:US
Mailing Address - Phone:203-238-1241
Mailing Address - Fax:203-686-0791
Practice Address - Street 1:455 LEWIS AVE
Practice Address - Street 2:STE 210
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2121
Practice Address - Country:US
Practice Address - Phone:203-238-1241
Practice Address - Fax:203-686-0791
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2008-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT012605208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT06-1406459OtherTRICARE
CT2V8071OtherHEALTH NET
CT06-1406459OtherUNITED HEALTHCARE
CT06-1406459OtherGREAT-WEST HEALTHCARE
CTP3856210OtherOXFORD
CT06-1406459OtherCOMMUNITY HEALTH NETWORK
CT4112541OtherAETNA
CT0763840OtherCIGNA
CT06-1406459OtherMULTIPLAN
CT12605OtherCONNECTICARE
CT06-1406459OtherPRIVATE HEALTHCARE SYSTEMS
CT010012605CT07OtherANTHEM
CT1205919586Medicaid
CT06-1406459OtherNORTHEAST HEALTH DIRECT
CT06-1406459OtherMULTIPLAN
CT12605OtherCONNECTICARE