Provider Demographics
NPI:1700872991
Name:BOOK, MORRIS M (MD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:M
Last Name:BOOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:15066-2204
Mailing Address - Country:US
Mailing Address - Phone:724-843-3800
Mailing Address - Fax:714-843-4799
Practice Address - Street 1:1520 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:PA
Practice Address - Zip Code:15066-2204
Practice Address - Country:US
Practice Address - Phone:724-843-3800
Practice Address - Fax:714-843-4799
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023398E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0006838930004Medicaid
PA138244LCKMedicare PIN
PR0006838930004Medicaid