Basic Information
Provider Information
NPI: 1689940017
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORSE
FirstName: CHRISTOPHER
MiddleName: BROOKS
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4815 LIBERTY AVE
Address2: STE 310
City: PITTSBURGH
State: PA
PostalCode: 152242156
CountryCode: US
TelephoneNumber: 4125781116
FaxNumber: 4126056396
Practice Location
Address1: 4815 LIBERTY AVE
Address2: STE 310
City: PITTSBURGH
State: PA
PostalCode: 152242156
CountryCode: US
TelephoneNumber: 4125781116
FaxNumber: 4126056396
Other Information
ProviderEnumerationDate: 03/29/2012
LastUpdateDate: 08/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XML60289093WAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207VX0201XMD471044PAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology

No ID Information.


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