Individual provider · Type 1 NPI

Ethan Morris, PA

Medical Physician Assistant · Boston, MA

NPI number 1255728622 Active

Practice location

55 Fruit Street
Boston, MA 02241-3308

Mailing address

680 Centre St
Brockton, MA 02302-3308

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA5450 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1255728622

Ethan Morris, PA's National Provider Identifier is 1255728622, issued on Apr 23, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Apr 7, 2025.