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Individual

MELISSA L. MORGAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CCC

Contact information

Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-5984
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
755
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0036356
NEIGHBORHOOD HEALTH PLAN
MA
05
5104831
MA
01
908317
TUFTS HEALTH PLAN
MA
01
AA45635
HARVARD PILGRIM
MA
01
AD0188
BLUE CROSS
MA
01
B501027
CIGNA
MA
Enumeration date
01/24/2006
Last updated
07/08/2007
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