Basic Information
| Provider Information | |||||||||
| NPI: | 1548329790 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MORGAN KALMAN CLINIC PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2501 SILVERSIDE RD | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198103726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3025295500 | ||||||||
| FaxNumber: | 3025295555 | ||||||||
| Practice Location | |||||||||
| Address1: | 2501 SILVERSIDE RD | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198103726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3025295500 | ||||||||
| FaxNumber: | 3025295555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MORGAN | ||||||||
| AuthorizedOfficialFirstName: | CRAIG | ||||||||
| AuthorizedOfficialMiddleName: | DOUGLAS | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3025295500 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0005X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine |
No ID Information.