Provider Demographics
NPI:1053347641
Name:MORPHE'MD
Entity type:Organization
Organization Name:MORPHE'MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:S
Authorized Official - Last Name:NINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-726-1400
Mailing Address - Street 1:701 COTTAGE GROVE RD
Mailing Address - Street 2:BUILDING D210
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3080
Mailing Address - Country:US
Mailing Address - Phone:860-726-1400
Mailing Address - Fax:860-726-9400
Practice Address - Street 1:701 COTTAGE GROVE RD
Practice Address - Street 2:BUILDING D210
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3080
Practice Address - Country:US
Practice Address - Phone:860-726-1400
Practice Address - Fax:860-726-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty