Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 032990 | CT |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 032990 | CT |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 032990 | CT |
NPI | 1376518035 |
---|---|
Provider Name | Paul Bernard Murray |
First Address | Hartford, CT 06105 |
Second Address | Hartford, CT 06105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 10/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001329904 | (05) | CT |
010032990CT01 | BCBS (01) | CT |
F30473 | (02) | |
IP0580 | HEALTHNET (01) |