Provider Demographics
NPI:1295711638
Name:MOROSKY, MICHAEL F (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:MOROSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2110 SILAS DEANE HWY
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2313
Mailing Address - Country:US
Mailing Address - Phone:860-258-3470
Mailing Address - Fax:860-571-6800
Practice Address - Street 1:9 CRANBROOK BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082
Practice Address - Country:US
Practice Address - Phone:860-253-5330
Practice Address - Fax:860-253-5331
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2014-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT020099207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001200998Medicaid
D03050Medicare UPIN
CT001200998Medicaid