Healthcare Provider Details

I. General information

NPI: 1073594123
Provider Name (Legal Business Name): JURGEN CRAIG-MULLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 FALMOUTH RD
HYANNIS MA
02601-2324
US

IV. Provider business mailing address

1030 FALMOUTH RD STE 201
HYANNIS MA
02601-2324
US

V. Phone/Fax

Practice location:
  • Phone: 774-470-5080
  • Fax: 508-775-6455
Mailing address:
  • Phone: 774-470-5080
  • Fax: 508-775-6455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number257566
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: