Healthcare Provider Details

I. General information

NPI: 1376518035
Provider Name (Legal Business Name): PAUL BERNARD MURRAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 09/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ASYLUM AVE STE 3220
HARTFORD CT
06105
US

IV. Provider business mailing address

1000 ASYLUM AVE STE 3220
HARTFORD CT
06105
US

V. Phone/Fax

Practice location:
  • Phone: 860-247-3279
  • Fax: 860-727-9540
Mailing address:
  • Phone: 860-247-3279
  • Fax: 860-727-9540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number032990
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number032990
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number032990
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: