Morcos, Samer T
Morcos, Samer T is an individual health care provider with primary practice located at 112 Mansfield Ave , Willimantic CT 06226-2045. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Morcos, Samer T can be contacted via phone (860) 456-6713.Contact Information
Primary practice address
112 Mansfield Ave
Willimantic CT 06226-2045
Phone: (860) 456-6713
Fax: (860) 456-6838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042938 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 042938 | Connecticut |
Profile Details
| NPI number | 1043277890 |
|---|---|
| LBN Legal business name | Morcos, Samer T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Dec 14th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043277890 | NPPES |
| Connecticut | Other | 010042938CT01 | ANTHEM BC/BS OF CT |
| Connecticut | Other | 1078580 | ANTHEM BC/BS OF CT |
| Connecticut | MEDICAID | 001429382 | ANTHEM BC/BS OF CT |
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