Provider Demographics
NPI:1255056214
Name:MORSON, CHERMAINE L (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:CHERMAINE
Middle Name:L
Last Name:MORSON
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 NEWBURY ST STE 450
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-2738
Mailing Address - Country:US
Mailing Address - Phone:857-880-2018
Mailing Address - Fax:
Practice Address - Street 1:361 NEWBURY ST STE 450
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-2738
Practice Address - Country:US
Practice Address - Phone:857-880-2018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174400000XOther Service ProvidersSpecialist
No305S00000XManaged Care OrganizationsPoint of Service