Provider Demographics
NPI:1770705584
Name:MORRISON, ROBERT WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WILLIAM
Last Name:MORRISON
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 1:77 MILLBROOK ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07976
Mailing Address - Country:US
Mailing Address - Phone:973-467-0900
Mailing Address - Fax:973-326-1702
Practice Address - Street 1:77 MILLBROOK ROAD
Practice Address - Street 2:
Practice Address - City:NEW VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07976
Practice Address - Country:US
Practice Address - Phone:973-467-0900
Practice Address - Fax:973-326-1702
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02144900207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA02144900OtherMEDICAL LICENSE NUMBER