Provider Demographics
NPI:1356321830
Name:MORRIS, EDWARD F (MD)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:F
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:410 MAPLE AVENUE WEST
Mailing Address - Street 2:STE. 5
Mailing Address - City:VLENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180
Mailing Address - Country:US
Mailing Address - Phone:703-938-2244
Mailing Address - Fax:703-938-3669
Practice Address - Street 1:410 MAPLE AVENUE WEST
Practice Address - Street 2:STE. 5
Practice Address - City:VLENNA
Practice Address - State:VA
Practice Address - Zip Code:22180
Practice Address - Country:US
Practice Address - Phone:703-938-2244
Practice Address - Fax:703-938-3669
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101055335208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006730361Medicaid
VA006730361Medicaid