Individual
DR. BRUCE LOUIS MOREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11402 GUY R BREWER BLVD, JAMAICA, NY 11434-1234
(718) 883-6626
(718) 883-6193
Mailing address
7901 BROADWAY, MANAGED CARE, D1-01, ELMHURST, NY 11373-1329
(718) 334-1921
(718) 334-3432
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
174928
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01446524
—
NY
Enumeration date
11/06/2006
Last updated
07/08/2007
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