Individual
MARK MACCOLLOM MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, FACOP
Contact information
Practice address
26 MILLBURN AVE, SPRINGFIELD, NJ 07081-1071
(973) 258-1776
Mailing address
26 MILLBURN AVE, SPRINGFIELD, NJ 07081-1071
(973) 258-1776
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
25MB07847900
NJ
208000000X
Pediatrics Physician
Primary
25MB07847900
NJ
Other
Enumeration date
07/19/2005
Last updated
06/13/2013
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