Provider Demographics
NPI:1356397822
Name:MORRIS FAMILY MEDICAL CENTER
Entity type:Organization
Organization Name:MORRIS FAMILY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAUREGUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-351-1700
Mailing Address - Street 1:609 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1711
Mailing Address - Country:US
Mailing Address - Phone:908-351-1700
Mailing Address - Fax:908-351-2323
Practice Address - Street 1:609 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1711
Practice Address - Country:US
Practice Address - Phone:908-351-1700
Practice Address - Fax:908-351-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty