Basic Information
Provider Information
NPI: 1922323237
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORSHEIMER
FirstName: MEGAN
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 191
Address2: PROVIDER ENROLLMENT DEPARTMENT
City: ROCKLAND
State: DE
PostalCode: 197320191
CountryCode: US
TelephoneNumber: 3026516212
FaxNumber:  
Practice Location
Address1: 1600 ROCKLAND RD
Address2: NEMOURS DUPONT PEDIATRICS
City: WILMINGTON
State: DE
PostalCode: 198033607
CountryCode: US
TelephoneNumber: 3026514321
FaxNumber: 3026516558
Other Information
ProviderEnumerationDate: 03/30/2010
LastUpdateDate: 10/09/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207K00000XMD452460PAN Allopathic & Osteopathic PhysiciansAllergy & Immunology 
208000000XMD452460PAN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0201XC10011387DEY Allopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
208000000XC10011387DEN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0201XMD452460PAN Allopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology

No ID Information.


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