Individual
JOHN R. MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
174 ARMISTICE BLVD, PAWTUCKET, RI 02860-3210
(401) 729-3600
(401) 729-2580
Mailing address
111 BREWSTER ST, DEPARTMENT OF OB/GYN, PAWTUCKET, RI 02860-4400
(401) 729-3600
(401) 729-2580
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD11288
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007056669
MEDICARE PTAN
RI
05
—
9026805
—
RI
Enumeration date
12/05/2005
Last updated
05/17/2010
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