Provider Demographics
NPI:1043064926
Name:MORRIS, ANDREA NICOLE (MD)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:NICOLE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1734 BELMAR BLVD
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719
Mailing Address - Country:US
Mailing Address - Phone:609-648-9869
Mailing Address - Fax:
Practice Address - Street 1:1945 ROUTE 33, JERSEY SHORE UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:DEPARTMENT OF MEDICINE, ACKERMAN 334
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753
Practice Address - Country:US
Practice Address - Phone:732-776-4483
Practice Address - Fax:732-776-4052
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program