Provider Demographics
NPI:1720166143
Name:MORGAN, HARRY JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:JAMES
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-1703
Mailing Address - Country:US
Mailing Address - Phone:856-845-0020
Mailing Address - Fax:856-845-5567
Practice Address - Street 1:105 N BROAD ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1703
Practice Address - Country:US
Practice Address - Phone:856-845-0020
Practice Address - Fax:856-845-5567
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00372900111NX0800X
PADC003962L111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5504309Medicaid
NJ5504309Medicaid
NJ4032832Medicare ID - Type Unspecified