Provider Demographics
NPI:1750370201
Name:EARLE, MORRIS JR (MD)
Entity type:Individual
Prefix:
First Name:MORRIS
Middle Name:
Last Name:EARLE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:30 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2052
Mailing Address - Country:US
Mailing Address - Phone:413-582-2792
Mailing Address - Fax:413-582-4675
Practice Address - Street 1:30 LOCUST ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2052
Practice Address - Country:US
Practice Address - Phone:413-582-2792
Practice Address - Fax:413-582-4675
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2020-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA570342080P0203X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400350854Medicare UPIN
E01893Medicare UPIN