Provider Demographics
NPI:1245297621
Name:NORRIS, CHARLES MORGAN JR (MD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:MORGAN
Last Name:NORRIS
Suffix:JR
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:44 BINNEY STREET - SW430
Mailing Address - Street 2:DANA FARBER CANCER INSTITUTE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-632-6364
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY STREET - SW430
Practice Address - Street 2:DANA FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-6364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2007-09-02
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Provider Licenses
StateLicense IDTaxonomies
MA43955207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology