Individual
WYNNE S. MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, MCPAP, WORCESTER, MA 01655-0002
(508) 334-3420
(508) 334-7185
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
259073
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110100427A
—
MA
Enumeration date
06/17/2010
Last updated
12/02/2020
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